KIMBERLY A BROCKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121496

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BROCKMAN

Business Name

KIMBERLY A BROCKMAN

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/1999

City

SOUTH CHICAGO HGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005