BRANDON W LIDSTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244902

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

LIDSTER

Business Name

BRANDON W LIDSTER

Original Issue Date

09/22/2016

Effective Date

09/22/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017