JACOB BRUNS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207316

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

BRUNS

Business Name

JACOB BRUNS

Original Issue Date

10/17/2011

Effective Date

10/17/2011

Expiration Date

03/31/2012

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/07/2012