MARY LOUISE BRANDENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068761

License Status

NOT RENEWED

Business

First Name

MARY LOUISE

Last Name

BRANDENBURG

Business Name

MARY LOUISE BRANDENBURG

Original Issue Date

01/27/1978

Effective Date

01/27/1978

Expiration Date

03/31/1984

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/17/2005