REBECCA A BRENNEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192379

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

BRENNEISEN

Prefix

Business Name

REBECCA A BRENNEISEN

Original Issue Date

06/16/2009

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011