NICOLE RENEE BRAWLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190913

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

BRAWLEY

Business Name

NICOLE RENEE BRAWLEY

Original Issue Date

04/09/2009

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/12/2011