BRANDON LEE DEFRATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209472

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

LEE

Last Name

DEFRATES

Business Name

BRANDON LEE DEFRATES

Original Issue Date

02/29/2012

Effective Date

02/27/2013

Expiration Date

03/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2014