KELLY A BRAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163357

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BRAYFIELD

Business Name

KELLY A BRAYFIELD

Original Issue Date

08/30/2005

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/12/2011