BROOKE ELAINE BIRDSLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130659

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ELAINE

Last Name

BIRDSLEY

Business Name

BROOKE ELAINE BIRDSLEY

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

03/31/2001

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005