SUSAN DIANE BRAINARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300431

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DIANE

Last Name

BRAINARD

Business Name

SUSAN DIANE BRAINARD

Original Issue Date

03/08/2023

Effective Date

03/08/2023

Expiration Date

03/31/2024

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

01/03/2025