SAMUEL BRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274017

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

BRICK

Business Name

SAMUEL BRICK

Original Issue Date

06/29/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022