BRANDI LOUISE CLEMENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155801

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

LOUISE

Last Name

CLEMENS

Business Name

BRANDI LOUISE CLEMENS

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2006

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006