MARY ELLEN BRAGIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148540

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELLEN

Last Name

BRAGIEL

Business Name

MARY ELLEN BRAGIEL

Original Issue Date

05/14/2003

Effective Date

04/01/2019

Expiration Date

09/30/2020

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2021