BRANDON ALLEN KENWORTHY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143319

License Status

INACTIVE

Business

First Name

BRANDON

Middle

ALLEN

Last Name

KENWORTHY

Business Name

BRANDON ALLEN KENWORTHY

Original Issue Date

06/24/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SULLIVAN

State

Zip

61951

Ever Disciplined

LastModifiedDate

01/10/2008