BROOKE R MYLOTT - Pharmacist License in Illinois | # 049148439

BROOKE R MYLOTT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148439

License Status

NOT RENEWED

Business

N

First Name

BROOKE

Middle

R

Last Name

MYLOTT

Business Name

BROOKE R MYLOTT

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005