KRISTIE M BROTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087087

License Status

NOT RENEWED

Business

First Name

KRISTIE M

Last Name

BROTAN

Business Name

KRISTIE M BROTAN

Original Issue Date

06/18/1988

Effective Date

06/18/1988

Expiration Date

03/31/1990

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005