BRENT HERBERT BROKHOF - Pharmacist License in Illinois | # 049155857

BRENT HERBERT BROKHOF

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155857

License Status

INACTIVE

Business

N

First Name

BRENT

Middle

HERBERT

Last Name

BROKHOF

Business Name

BRENT HERBERT BROKHOF

Original Issue Date

06/29/2004

Effective Date

03/29/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2011