STEPHANIE ANN BROCKHAUS - Pharmacist License in Illinois | # 049278660

STEPHANIE ANN BROCKHAUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278660

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

ANN

Last Name

BROCKHAUS

Business Name

STEPHANIE ANN BROCKHAUS

Original Issue Date

01/14/2021

Effective Date

01/14/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022