BROOKE RENAE WEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141856

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

RENAE

Last Name

WEST

Business Name

BROOKE RENAE WEST

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2003

City

LAKEWOOD

State

Zip

62438

County

SHELBY

Ever Disciplined

LastModifiedDate

10/20/2005