DIANE K BROOKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092828

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

BROOKS

Business Name

DIANE K BROOKS

Original Issue Date

04/21/1990

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/12/2012