LAURA ANN BRANDT - Pharmacist License in Wisconsin | # 049157954

LAURA ANN BRANDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157954

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

ANN

Last Name

BRANDT

Business Name

LAURA ANN BRANDT

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

03/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/20/2005