BRANDON ALAN BRISCOE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249709

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

ALAN

Last Name

BRISCOE

Business Name

BRANDON ALAN BRISCOE

Original Issue Date

04/06/2017

Effective Date

04/06/2017

Expiration Date

03/31/2018

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

06/19/2018