KRISTINE MARIE BROMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139270

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

MARIE

Last Name

BROMS

Business Name

KRISTINE MARIE BROMS

Original Issue Date

11/19/2001

Effective Date

11/19/2001

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005