TAYLOR MARIE BROTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122764

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

MARIE

Last Name

BROTAN

Business Name

TAYLOR MARIE BROTAN

Original Issue Date

09/04/1998

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009