BREAH LYNN ANDREA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158952

License Status

NOT RENEWED

Business

First Name

BREAH

Middle

LYNN

Last Name

ANDREA

Business Name

BREAH LYNN ANDREA

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

03/31/2006

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006