BREANNA D MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253187

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

Last Name

MASON

Business Name

BREANNA D MASON

Original Issue Date

09/19/2017

Effective Date

01/23/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/08/2021