TAMARA L BRANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088788

License Status

NOT RENEWED

Business

First Name

TAMARA L

Last Name

BRANDT

Business Name

TAMARA L BRANDT

Original Issue Date

01/21/1989

Effective Date

01/21/1989

Expiration Date

03/31/2005

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005