BRANDI R SOUTHWICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194803

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

Last Name

SOUTHWICK

Business Name

BRANDI R SOUTHWICK

Original Issue Date

10/15/2009

Effective Date

01/29/2010

Expiration Date

03/31/2011

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/12/2011