NATHAN WAYNE BRUNAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236659

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

WAYNE

Last Name

BRUNAUGH

Business Name

NATHAN WAYNE BRUNAUGH

Original Issue Date

10/02/2015

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/10/2017