BRENTON A COSBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204941

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

COSBY

Business Name

BRENTON A COSBY

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012

Case Number

2012001148

Action

Revocation

Discipline Start Date

02/08/2012

Discipline Reason

for being more than 30 days delinquent in the payment of child support.