AMBER R BRAATEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141266

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

BRAATEN

Business Name

AMBER R BRAATEN

Original Issue Date

03/11/2002

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/20/2016