BRENNA MARIE ALTENHOFEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212576

License Status

NOT RENEWED

Business

First Name

BRENNA

Middle

MARIE

Last Name

ALTENHOFEN

Business Name

BRENNA MARIE ALTENHOFEN

Original Issue Date

08/01/2012

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/11/2015