BRENT BASTIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218312

License Status

NOT RENEWED

Business

First Name

BRENT

Last Name

BASTIAN

Prefix

Business Name

BRENT BASTIAN

Original Issue Date

05/30/2013

Effective Date

05/30/2013

Expiration Date

03/31/2014

City

SAINT PAUL

State

Zip

55105

Ever Disciplined

LastModifiedDate

05/06/2014