THERESA DIANE BRENNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187131

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

DIANE

Last Name

BRENNER

Business Name

THERESA DIANE BRENNER

Original Issue Date

09/18/2008

Effective Date

09/18/2008

Expiration Date

03/31/2009

City

ATTICA

State

Zip

47918

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2009