WILLIAM D BROCKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154455

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

BROCKMAN

Business Name

WILLIAM D BROCKMAN

Original Issue Date

05/21/2004

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015