MELISSA MARIE BRAUTIGAM - Pharmacist License in Illinois | # 049150319

MELISSA MARIE BRAUTIGAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150319

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

MARIE

Last Name

BRAUTIGAM

Business Name

MELISSA MARIE BRAUTIGAM

Original Issue Date

08/25/2003

Effective Date

03/29/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021