KIRSTEN S BRACKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245622

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

Last Name

BRACKEN

Prefix

Business Name

KIRSTEN S BRACKEN

Original Issue Date

10/21/2016

Effective Date

03/04/2021

Expiration Date

05/31/2022

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/27/2022