SHAWN L BRANDENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098215

License Status

NOT RENEWED

Business

First Name

SHAWN L

Last Name

BRANDENBURG

Business Name

SHAWN L BRANDENBURG

Original Issue Date

10/04/1991

Effective Date

10/04/1991

Expiration Date

03/31/1997

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005