KWUNTRAILDER D BRUNT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151512

License Status

NOT RENEWED

Business

First Name

KWUNTRAILDER

Middle

Last Name

BRUNT

Business Name

KWUNTRAILDER D BRUNT

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005