KHYDIJAH BRAZELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239311

License Status

NOT RENEWED

Business

First Name

KHYDIJAH

Last Name

BRAZELL

Business Name

KHYDIJAH BRAZELL

Original Issue Date

02/02/2016

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/10/2017