SELENA KELLY BRAUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268050

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

KELLY

Last Name

BRAUN

Business Name

SELENA KELLY BRAUN

Original Issue Date

09/24/2019

Effective Date

09/24/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021