SHEENA M BROUILLETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162935

License Status

NOT RENEWED

Business

First Name

SHEENA

Middle

Last Name

BROUILLETTE

Business Name

SHEENA M BROUILLETTE

Original Issue Date

08/11/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/14/2007