IVY NICOLE BRANTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115464

License Status

NOT RENEWED

Business

First Name

IVY NICOLE

Last Name

BRANTLEY

Business Name

IVY NICOLE BRANTLEY

Original Issue Date

10/02/1996

Effective Date

10/02/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005