EDYTHE L BROOKWALTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085097

License Status

NOT RENEWED

Business

First Name

EDYTHE L

Last Name

BROOKWALTER

Business Name

EDYTHE L BROOKWALTER

Original Issue Date

08/25/1987

Effective Date

08/25/1987

Expiration Date

03/31/1996

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005