BRANDON PAUL WISINSKI DO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148930

License Status

INACTIVE

Business

Title

First Name

BRANDON

Middle

PAUL

Last Name

WISINSKI

Business Name

BRANDON PAUL WISINSKI DO

Original Issue Date

06/13/2003

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010