DONNA J BROCKMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212364

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

BROCKMEYER

Business Name

DONNA J BROCKMEYER

Original Issue Date

07/23/2012

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

LONG GROVE

State

Zip

52756

County

IOWA

Ever Disciplined

LastModifiedDate

05/06/2014