BRANDON MICHEAL LEATHERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256786

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

MICHEAL

Last Name

LEATHERS

Business Name

BRANDON MICHEAL LEATHERS

Original Issue Date

03/15/2018

Effective Date

03/15/2018

Expiration Date

03/31/2019

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019