SHANE BRANDT - Pharmacist License in Illinois | # 049233658

SHANE BRANDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233658

License Status

NOT RENEWED

Business

N

First Name

SHANE

Last Name

BRANDT

Prefix

MR

Business Name

SHANE BRANDT

Original Issue Date

06/10/2015

Effective Date

02/04/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021