BRIAN RICHARD DATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288989

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

RICHARD

Last Name

DATA

Business Name

BRIAN RICHARD DATA

Original Issue Date

12/20/2021

Effective Date

05/20/2022

Expiration Date

03/31/2023

City

WATERMAN

State

Zip

60556

Ever Disciplined

LastModifiedDate

09/07/2023