BRANDYN LOUIS BISANZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255297

License Status

NOT RENEWED

Business

First Name

BRANDYN

Middle

LOUIS

Last Name

BISANZ

Business Name

BRANDYN LOUIS BISANZ

Original Issue Date

01/03/2018

Effective Date

05/14/2022

Expiration Date

03/31/2023

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/07/2023