LANA J BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155442

License Status

NOT RENEWED

Business

First Name

LANA

Middle

Last Name

BROOKS

Business Name

LANA J BROOKS

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

City

NORRIS CITY

State

Zip

62869

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/20/2005