CASSANDRA L BRUKETTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060689

License Status

NOT RENEWED

Business

First Name

CASSANDRA L

Last Name

BRUKETTA

Business Name

CASSANDRA L BRUKETTA

Original Issue Date

12/10/1973

Effective Date

12/10/1973

Expiration Date

03/31/1986

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005