KWUNTRAILDER D BRUNT - Pharmacist License in Illinois | # 049151512

KWUNTRAILDER D BRUNT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151512

License Status

NOT RENEWED

Business

N

First Name

KWUNTRAILDER

Middle

D

Last Name

BRUNT

Business Name

KWUNTRAILDER D BRUNT

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005