MARK S BRAYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099383

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

BRAYER

Business Name

MARK S BRAYER

Original Issue Date

02/11/1992

Effective Date

02/11/1992

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005