KATHY L BROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065863

License Status

NOT RENEWED

Business

First Name

KATHY L

Last Name

BROCKETT

Business Name

KATHY L BROCKETT

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

01/01/1997

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005