BRANDEN C WYCOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145716

License Status

NOT RENEWED

Business

First Name

BRANDEN

Middle

Last Name

WYCOFF

Business Name

BRANDEN C WYCOFF

Original Issue Date

11/06/2002

Effective Date

11/06/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005