JASON RONALD BRACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105777

License Status

NOT RENEWED

Business

First Name

JASON RONALD

Last Name

BRACH

Business Name

JASON RONALD BRACH

Original Issue Date

01/21/1994

Effective Date

01/21/1994

Expiration Date

03/31/2000

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005