ANGELA LESLIE BRANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118851

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

LESLIE

Last Name

BRANDT

Business Name

ANGELA LESLIE BRANDT

Original Issue Date

09/15/1997

Effective Date

09/15/1997

Expiration Date

03/31/1999

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005