BRANDON KEITH BREAUX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154399

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

KEITH

Last Name

BREAUX

Business Name

BRANDON KEITH BREAUX

Original Issue Date

05/19/2004

Effective Date

05/25/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007