BRANDON W DOUGLAS - Pharmacist License in Illinois | # 049196350

BRANDON W DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196350

License Status

NOT RENEWED

Business

N

First Name

BRANDON

Middle

W

Last Name

DOUGLAS

Business Name

BRANDON W DOUGLAS

Original Issue Date

01/21/2010

Effective Date

01/21/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011