SAMANTHA L BROOKOVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100976

License Status

NOT RENEWED

Business

First Name

SAMANTHA L

Last Name

BROOKOVER

Business Name

SAMANTHA L BROOKOVER

Original Issue Date

08/12/1992

Effective Date

08/12/1992

Expiration Date

03/31/1997

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005