KENJA E BRASSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234316

License Status

NOT RENEWED

Business

First Name

KENJA

Middle

Last Name

BRASSFIELD

Business Name

KENJA E BRASSFIELD

Original Issue Date

07/08/2015

Effective Date

02/27/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018