BROOKE N DZIWULSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151822

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

DZIWULSKI

Business Name

BROOKE N DZIWULSKI

Original Issue Date

10/22/2003

Effective Date

02/25/2010

Expiration Date

03/31/2011

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011