KATHERINE M BROCKWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068514

License Status

NOT RENEWED

Business

First Name

KATHERINE M

Last Name

BROCKWAY

Business Name

KATHERINE M BROCKWAY

Original Issue Date

12/02/1977

Effective Date

12/02/1977

Expiration Date

01/01/1997

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005