STACEY L BRAUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105483

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

BRAUN

Business Name

STACEY L BRAUN

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005