JOHN ROBERT BREUNISSEN - Pharmacist License in Illinois | # 049065703

JOHN ROBERT BREUNISSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065703

License Status

NOT RENEWED

Business

N

First Name

JOHN ROBERT

Last Name

BREUNISSEN

Business Name

JOHN ROBERT BREUNISSEN

Original Issue Date

07/09/1976

Effective Date

07/09/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005