BRANDY K FOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299105

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

FOUNTAIN

Business Name

BRANDY K FOUNTAIN

Original Issue Date

09/29/2015

Effective Date

03/07/2016

Expiration Date

03/31/2018

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018