TIMOTHY R BRACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130427

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

BRACH

Business Name

TIMOTHY R BRACH

Original Issue Date

04/06/2000

Effective Date

04/06/2000

Expiration Date

03/31/2002

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005