KYLENE A BRANDOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133182

License Status

NOT RENEWED

Business

First Name

KYLENE

Middle

Last Name

BRANDOM

Business Name

KYLENE A BRANDOM

Original Issue Date

10/16/2000

Effective Date

10/16/2000

Expiration Date

03/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/06/2005