LENORE ANN BROKAMP - Pharmacist License in Illinois | # 049062991

LENORE ANN BROKAMP

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062991

License Status

CANCELLED

Business

N

First Name

LENORE ANN

Last Name

BROKAMP

Business Name

LENORE ANN BROKAMP

Original Issue Date

02/21/1975

Effective Date

02/21/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005