BETTY D BRACKENBURY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057545

License Status

NOT RENEWED

Business

First Name

BETTY D

Last Name

BRACKENBURY

Business Name

BETTY D BRACKENBURY

Original Issue Date

04/01/1972

Effective Date

04/01/1972

Expiration Date

03/31/1988

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005