MICHAEL EDWARD BRAZELTON - Pharmacist License in Illinois | # 049182261

MICHAEL EDWARD BRAZELTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182261

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

EDWARD

Last Name

BRAZELTON

Business Name

MICHAEL EDWARD BRAZELTON

Original Issue Date

02/20/2008

Effective Date

02/20/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009