LEO V BRATLAND Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063254

License Status

CANCELLED

Business

First Name

LEO V

Last Name

BRATLAND

Business Name

LEO V BRATLAND

Original Issue Date

04/11/1975

Effective Date

04/11/1975

Expiration Date

01/01/1997

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005