BRANDON DEE GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151841

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

DEE

Last Name

GRANT

Business Name

BRANDON DEE GRANT

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

03/31/2005

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005