DENISE MICHELLE BRUNENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121628

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

MICHELLE

Last Name

BRUNENN

Business Name

DENISE MICHELLE BRUNENN

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

03/31/2001

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005