BRANDY MARIE COUSINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149445

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

MARIE

Last Name

COUSINS

Business Name

BRANDY MARIE COUSINS

Original Issue Date

07/08/2003

Effective Date

07/08/2003

Expiration Date

03/31/2005

City

MONTGOMERY

State

Zip

49255

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/20/2005