LAURA ANN BRANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157954

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

BRANDT

Business Name

LAURA ANN BRANDT

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

03/31/2005

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005