ANDREA L BRAASCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160705

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BRAASCH

Business Name

ANDREA L BRAASCH

Original Issue Date

04/29/2005

Effective Date

04/29/2005

Expiration Date

03/31/2006

City

DORSEY

State

Zip

62021

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006