BRANDY LEIGH PROSSER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156184

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

LEIGH

Last Name

PROSSER

Business Name

BRANDY LEIGH PROSSER

Original Issue Date

07/26/2004

Effective Date

07/26/2004

Expiration Date

03/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005