BRANDI L VERBOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195184

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

Last Name

VERBOUT

Prefix

Business Name

BRANDI L VERBOUT

Original Issue Date

11/05/2009

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015