BRYAN LEE WARK - Pharmacist License in Illinois | # 049201294

BRYAN LEE WARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201294

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

LEE

Last Name

WARK

Business Name

BRYAN LEE WARK

Original Issue Date

10/28/2010

Effective Date

01/25/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013