JACKIE R BRUNS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116101

License Status

NOT RENEWED

Business

First Name

JACKIE R

Last Name

BRUNS

Business Name

JACKIE R BRUNS

Original Issue Date

11/28/1996

Effective Date

11/28/1996

Expiration Date

03/31/1997

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005