BRENDA ANN VANDEGRAFT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112798

License Status

NOT RENEWED

Business

First Name

BRENDA ANN

Last Name

VANDEGRAFT

Business Name

BRENDA ANN VANDEGRAFT

Original Issue Date

12/18/1995

Effective Date

12/18/1995

Expiration Date

03/31/1998

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005