SKYE NATHANIEL BROUWER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148371

License Status

NOT RENEWED

Business

First Name

SKYE

Middle

NATHANIEL

Last Name

BROUWER

Business Name

SKYE NATHANIEL BROUWER

Original Issue Date

04/29/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

05/02/2008