CAROLYN K BROUETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116657

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BROUETTE

Business Name

CAROLYN K BROUETTE

Original Issue Date

03/04/1997

Effective Date

03/04/1997

Expiration Date

03/31/2000

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005