DIAMOND C BRANTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208076

License Status

NOT RENEWED

Business

First Name

DIAMOND

Middle

Last Name

BRANTLEY

Prefix

Business Name

DIAMOND C BRANTLEY

Original Issue Date

11/30/2011

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016