IVY WANJA BRYNOLF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175760

License Status

NOT RENEWED

Business

First Name

IVY

Middle

WANJA

Last Name

BRYNOLF

Business Name

IVY WANJA BRYNOLF

Original Issue Date

04/23/2007

Effective Date

02/08/2010

Expiration Date

03/31/2011

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/12/2011