KAYLEIGH SUSAN BRATKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183738

License Status

NOT RENEWED

Business

First Name

KAYLEIGH

Middle

SUSAN

Last Name

BRATKE

Business Name

KAYLEIGH SUSAN BRATKE

Original Issue Date

04/21/2008

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

SILVER LAKE

State

Zip

53170

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010