BRANDON T SURPRENANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094120

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

SURPRENANT

Business Name

BRANDON T SURPRENANT

Original Issue Date

08/10/1990

Effective Date

08/10/1990

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005