LAURA J BRANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123933

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

BRANDT

Business Name

LAURA J BRANDT

Original Issue Date

11/30/1998

Effective Date

11/30/1998

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005