BRANDON W DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196350

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

DOUGLAS

Business Name

BRANDON W DOUGLAS

Original Issue Date

01/21/2010

Effective Date

01/21/2010

Expiration Date

03/31/2011

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

05/12/2011