KEVIN SCOTT BRUNKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294639

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SCOTT

Last Name

BRUNKE

Business Name

KEVIN SCOTT BRUNKE

Original Issue Date

08/03/2022

Effective Date

08/03/2022

Expiration Date

03/31/2023

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023