BROOKE L KLENOSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133890

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

KLENOSKY

Business Name

BROOKE L KLENOSKY

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005