KENNETH P BRANTLY - Pharmacist License in Illinois | # 049077754

KENNETH P BRANTLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077754

License Status

NOT RENEWED

Business

N

First Name

KENNETH P

Last Name

BRANTLY

Business Name

KENNETH P BRANTLY

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005