RAVEN DELANEY BRABSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165697

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

DELANEY

Last Name

BRABSON

Business Name

RAVEN DELANEY BRABSON

Original Issue Date

12/19/2005

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022