BRAYTON JAMES REGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202243

License Status

NOT RENEWED

Business

First Name

BRAYTON

Middle

JAMES

Last Name

REGNER

Business Name

BRAYTON JAMES REGNER

Original Issue Date

01/10/2011

Effective Date

02/27/2017

Expiration Date

03/31/2018

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018