BREANA KAY DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199913

License Status

NOT RENEWED

Business

First Name

BREANA

Middle

KAY

Last Name

DOUGLAS

Prefix

Business Name

BREANA KAY DOUGLAS

Original Issue Date

08/12/2010

Effective Date

02/23/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61101

Ever Disciplined

LastModifiedDate

05/06/2013