BREANNA N DALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200471

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

Last Name

DALTON

Business Name

BREANNA N DALTON

Original Issue Date

09/12/2010

Effective Date

09/12/2010

Expiration Date

03/31/2011

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/12/2011