BRENDA J BRAVO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080885

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

BRAVO

Business Name

BRENDA J BRAVO

Original Issue Date

03/22/1985

Effective Date

03/22/1985

Expiration Date

03/31/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005