DIAMOND C BRANTLEY - Pharmacist License in Illinois | # 049208076

DIAMOND C BRANTLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208076

License Status

NOT RENEWED

Business

N

First Name

DIAMOND

Middle

C

Last Name

BRANTLEY

Prefix

MR

Business Name

DIAMOND C BRANTLEY

Original Issue Date

11/30/2011

Effective Date

03/05/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016