BRIAN DAVID MIRSHAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211987

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

MIRSHAK

Business Name

BRIAN DAVID MIRSHAK

Original Issue Date

07/03/2012

Effective Date

02/26/2014

Expiration Date

03/31/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015