BRANDY JEAN CORNWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163531

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

JEAN

Last Name

CORNWELL

Business Name

BRANDY JEAN CORNWELL

Original Issue Date

09/06/2005

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/12/2011