SAMUEL TYLER BRASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220570

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

TYLER

Last Name

BRASS

Business Name

SAMUEL TYLER BRASS

Original Issue Date

09/04/2013

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/20/2016