THOMAS D BRAINARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192610

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

BRAINARD

Business Name

THOMAS D BRAINARD

Original Issue Date

06/25/2009

Effective Date

03/26/2010

Expiration Date

03/31/2011

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011