BROOKE NICOLE MARTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131447

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

NICOLE

Last Name

MARTEN

Business Name

BROOKE NICOLE MARTEN

Original Issue Date

07/05/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/14/2007