BRENDA BETH BIRD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216659

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

BETH

Last Name

BIRD

Business Name

BRENDA BETH BIRD

Original Issue Date

03/20/2013

Effective Date

02/18/2014

Expiration Date

03/31/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2015