BRENDA GALE BRAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141632

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

GALE

Last Name

BRAULT

Business Name

BRENDA GALE BRAULT

Original Issue Date

04/01/2002

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

DONOVAN

State

Zip

60931

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/15/2019