BRODY KAEMON CARPENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272112

License Status

NOT RENEWED

Business

First Name

BRODY

Middle

KAEMON

Last Name

CARPENTER

Business Name

BRODY KAEMON CARPENTER

Original Issue Date

03/27/2020

Effective Date

03/27/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021