MIKEL J BRANDHORST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291487

License Status

INACTIVE

Business

First Name

MIKEL

Middle

Last Name

BRANDHORST

Business Name

MIKEL J BRANDHORST

BusinessDBA

NONE

Original Issue Date

09/13/2006

Effective Date

09/13/2006

Expiration Date

03/31/2008

City

BOONE

State

Zip

50036

Ever Disciplined

LastModifiedDate

01/10/2008