KELLY MICHELLE BRENEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253329

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MICHELLE

Last Name

BRENEMAN

Business Name

KELLY MICHELLE BRENEMAN

Original Issue Date

09/22/2017

Effective Date

09/22/2017

Expiration Date

03/31/2018

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

06/19/2018