CHRISTABELLE EUGENIA BRAAKSMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148553

License Status

NOT RENEWED

Business

First Name

CHRISTABELLE

Middle

EUGENIA

Last Name

BRAAKSMA

Business Name

CHRISTABELLE EUGENIA BRAAKSMA

Original Issue Date

05/15/2003

Effective Date

05/15/2003

Expiration Date

03/31/2004

City

RICHTON PARK

State

Zip

60471

Ever Disciplined

LastModifiedDate

10/20/2005