ELISE LOUISE BRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154666

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

LOUISE

Last Name

BRAY

Business Name

ELISE LOUISE BRAY

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2005

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005