ANTHONY M BRAVO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150124

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

BRAVO

Business Name

ANTHONY M BRAVO

Original Issue Date

08/21/2003

Effective Date

04/18/2016

Expiration Date

03/31/2017

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017