KEVIN EUGENE BRAMBLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145953

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

EUGENE

Last Name

BRAMBLETT

Business Name

KEVIN EUGENE BRAMBLETT

Original Issue Date

11/20/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007