JILL ELAINE BRANDENBURG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041109

License Status

INACTIVE

Business

First Name

JILL ELAINE

Last Name

BRANDENBURG

Business Name

JILL ELAINE BRANDENBURG

Original Issue Date

08/31/1996

Effective Date

08/31/1996

Expiration Date

03/31/1998

City

LAWRENCE

State

Zip

66047

County

KANSAS

Ever Disciplined

LastModifiedDate

10/17/2005