VICKI S BRCKOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098091

License Status

NOT RENEWED

Business

First Name

VICKI S

Last Name

BRCKOVICH

Business Name

VICKI S BRCKOVICH

Original Issue Date

09/18/1991

Effective Date

09/18/1991

Expiration Date

03/31/1994

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005