BRANDON L WAELTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183784

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

WAELTZ

Prefix

Business Name

BRANDON L WAELTZ

Original Issue Date

04/21/2008

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011