HEATH EDWARD BRYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202994

License Status

NOT RENEWED

Business

First Name

HEATH

Middle

EDWARD

Last Name

BRYAN

Business Name

HEATH EDWARD BRYAN

Original Issue Date

03/03/2011

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/07/2012