BRENT BRUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216112

License Status

NOT RENEWED

Business

First Name

BRENT

Last Name

BRUCKER

Business Name

BRENT BRUCKER

Original Issue Date

02/20/2013

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

PIPER CITY

State

Zip

60959

County

FORD

Ever Disciplined

LastModifiedDate

05/11/2015