MICHELLE D BRANDOM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102074

License Status

INACTIVE

Business

First Name

MICHELLE D

Last Name

BRANDOM

Business Name

MICHELLE D BRANDOM

Original Issue Date

12/29/1992

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/12/2012