BRENDA GALE BRAULT - Pharmacist License in Illinois | # 049141632

BRENDA GALE BRAULT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141632

License Status

NOT RENEWED

Business

N

First Name

BRENDA

Middle

GALE

Last Name

BRAULT

Business Name

BRENDA GALE BRAULT

Original Issue Date

04/01/2002

Effective Date

03/26/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019