LAURA R BRAVO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114712

License Status

NOT RENEWED

Business

First Name

LAURA R

Last Name

BRAVO

Business Name

LAURA R BRAVO

Original Issue Date

07/27/1996

Effective Date

06/12/2015

Expiration Date

03/31/2016

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/20/2016