BENJAMIN JOHN BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157532

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

JOHN

Last Name

BROOKS

Business Name

BENJAMIN JOHN BROOKS

Original Issue Date

10/21/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008