BRENDA JEAN AUSSEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211037

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

JEAN

Last Name

AUSSEM

Business Name

BRENDA JEAN AUSSEM

Original Issue Date

05/14/2012

Effective Date

05/14/2012

Expiration Date

03/31/2013

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2013