TARA MARIE BRAUNGARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117292

License Status

NOT RENEWED

Business

First Name

TARA

Middle

MARIE

Last Name

BRAUNGARDT

Business Name

TARA MARIE BRAUNGARDT

Original Issue Date

04/18/1997

Effective Date

04/18/1997

Expiration Date

03/31/1998

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/17/2005