KAYLEEN RENAE BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150577

License Status

NOT RENEWED

Business

First Name

KAYLEEN

Middle

RENAE

Last Name

BROWN

Business Name

KAYLEEN RENAE BROWN

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006