JERRY GLENN BRANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061734

License Status

NOT RENEWED

Business

First Name

JERRY GLENN

Last Name

BRANDT

Business Name

JERRY GLENN BRANDT

Original Issue Date

06/21/1974

Effective Date

06/21/1974

Expiration Date

01/01/1997

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005