GARY D BRAUTIGAM - Pharmacist License in Illinois | # 049191846

GARY D BRAUTIGAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191846

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

D

Last Name

BRAUTIGAM

Prefix

MR

Business Name

GARY D BRAUTIGAM

Original Issue Date

05/21/2009

Effective Date

05/21/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010