MARY B BRANDOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084509

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

BRANDOM

Business Name

MARY B BRANDOM

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

03/31/2006

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

05/11/2006