CAROL A BROKAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075612

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

BROKAW

Business Name

CAROL A BROKAW

Original Issue Date

11/06/1981

Effective Date

11/06/1981

Expiration Date

03/31/1997

City

MILLEDGEVILLE

State

Zip

61051

County

CARROLL

Ever Disciplined

LastModifiedDate

10/17/2005