TERRY L BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148033

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

BROOKS

Business Name

TERRY L BROOKS

Original Issue Date

04/16/2003

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

05/07/2012