BRENT WILLIAM HOPPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155669

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

WILLIAM

Last Name

HOPPER

Business Name

BRENT WILLIAM HOPPER

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2005

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005