JENNIFER MARIE BRANDSTATTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155625

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

BRANDSTATTER

Business Name

JENNIFER MARIE BRANDSTATTER

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2005

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005