STEFANIE R BRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108086

License Status

NOT RENEWED

Business

First Name

STEFANIE R

Last Name

BRAKE

Business Name

STEFANIE R BRAKE

Original Issue Date

09/09/1994

Effective Date

09/09/1994

Expiration Date

03/31/2005

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/20/2005