BRENDA K AUGUSTINE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195341

License Status

INACTIVE

Business

First Name

BRENDA

Middle

Last Name

AUGUSTINE

Prefix

Business Name

BRENDA K AUGUSTINE

Original Issue Date

11/16/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

01/05/2011