BRENT D PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288804

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

PHILLIPS

Business Name

BRENT D PHILLIPS

Original Issue Date

04/25/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

SIDNEY

State

Zip

45365

County

OHIO

Ever Disciplined

LastModifiedDate

05/11/2006