MARK S BRAYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069764

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

BRAYER

Business Name

MARK S BRAYER

Original Issue Date

07/21/1978

Effective Date

07/21/1978

Expiration Date

01/01/1997

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005