TERRENCE BRAZEL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054881

License Status

CANCELLED

Business

First Name

TERRENCE

Last Name

BRAZEL

Business Name

TERRENCE BRAZEL

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005