MAUDE MAKENNA RHENEYA BRENTISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272401

License Status

NOT RENEWED

Business

First Name

MAUDE

Middle

MAKENNA RHENEYA

Last Name

BRENTISE

Business Name

MAUDE MAKENNA RHENEYA BRENTISE

Original Issue Date

04/08/2020

Effective Date

04/08/2020

Expiration Date

03/31/2021

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

07/20/2021