BRADEN R RENSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140268

License Status

NOT RENEWED

Business

First Name

BRADEN

Middle

Last Name

RENSHAW

Business Name

BRADEN R RENSHAW

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005