AMY CATHERINE BRODT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145894

License Status

NOT RENEWED

Business

First Name

AMY

Middle

CATHERINE

Last Name

BRODT

Business Name

AMY CATHERINE BRODT

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005