BRANDICE JO CZERWONKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220995

License Status

NOT RENEWED

Business

First Name

BRANDICE

Middle

Last Name

CZERWONKA

Prefix

Business Name

BRANDICE JO CZERWONKA

Original Issue Date

09/22/2013

Effective Date

03/13/2014

Expiration Date

03/31/2015

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/11/2015