LORAINE A VAN BROECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138932

License Status

NOT RENEWED

Business

First Name

LORAINE

Middle

Last Name

VAN BROECK

Business Name

LORAINE A VAN BROECK

Original Issue Date

10/31/2001

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010