BREANNA M GOOSTREE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233148

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

Last Name

GOOSTREE

Business Name

BREANNA M GOOSTREE

Original Issue Date

05/18/2015

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

POPLAR BLUFF

State

Zip

63901

Ever Disciplined

LastModifiedDate

07/15/2019