MICHAEL EDWARD BRAZELTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182261

License Status

NOT RENEWED

Business

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

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

05/06/2009