STACEY L BRAWLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114507

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

BRAWLEY

Business Name

STACEY L BRAWLEY

Original Issue Date

06/27/1996

Effective Date

06/27/1996

Expiration Date

03/31/2001

City

HARTFORD

State

Zip

62048

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005