JACQUELINE R BRAGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151699

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BRAGG

Business Name

JACQUELINE R BRAGG

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

03/31/2004

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005