TIMOTHY S BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058694

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

BROOKS

Business Name

TIMOTHY S BROOKS

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005