KATHLEEN M BRACKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153440

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

BRACKEN

Business Name

KATHLEEN M BRACKEN

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2006

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006