BRANDT M MYLOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097814

License Status

NOT RENEWED

Business

First Name

BRANDT M

Last Name

MYLOTT

Business Name

BRANDT M MYLOTT

Original Issue Date

08/23/1991

Effective Date

08/23/1991

Expiration Date

03/31/1993

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005