MARY CECILIA BRAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053051

License Status

NOT RENEWED

Business

First Name

MARY CECILIA

Last Name

BRAULT

Business Name

MARY CECILIA BRAULT

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005