TRISHA JEAN DANIELL BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142240

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

JEAN DANIELL

Last Name

BROOKS

Business Name

TRISHA JEAN DANIELL BROOKS

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

03/31/2004

City

ROCK CITY

State

Zip

61070

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/20/2005