SHANNON LEIGH BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120665

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEIGH

Last Name

BROOKS

Business Name

SHANNON LEIGH BROOKS

Original Issue Date

04/20/1998

Effective Date

04/20/1998

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005