BREANA MAE MARIE VALLEJO-BROWN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204334

License Status

INACTIVE

Business

First Name

BREANA MAE

Middle

MARIE

Last Name

VALLEJO-BROWN

Business Name

BREANA MAE MARIE VALLEJO-BROWN

Original Issue Date

05/24/2011

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/03/2013