GARY D BRAUTIGAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191846

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

BRAUTIGAM

Prefix

Business Name

GARY D BRAUTIGAM

Original Issue Date

05/21/2009

Effective Date

05/21/2009

Expiration Date

03/31/2010

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/04/2010