ELLEN KAY BRALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187386

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

KAY

Last Name

BRALEY

Business Name

ELLEN KAY BRALEY

Original Issue Date

09/26/2008

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

HETTICK

State

Zip

62649

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2013