KELSEY R BRANDENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166637

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

BRANDENBURG

Business Name

KELSEY R BRANDENBURG

Original Issue Date

03/07/2006

Effective Date

03/07/2006

Expiration Date

03/31/2007

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007