MELISSA MARIE BRAUTIGAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150319

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

BRAUTIGAM

Business Name

MELISSA MARIE BRAUTIGAM

Original Issue Date

08/25/2003

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/08/2021