BRANDY K FOUNTAIN - Pharmacist License in Illinois | # 051299105

BRANDY K FOUNTAIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299105

License Status

NOT RENEWED

Business

N

First Name

BRANDY

Middle

K

Last Name

FOUNTAIN

Business Name

BRANDY K FOUNTAIN

Original Issue Date

09/29/2015

Effective Date

03/07/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018