KENYATTA M BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164407

License Status

NOT RENEWED

Business

First Name

KENYATTA

Middle

Last Name

BROOKS

Business Name

KENYATTA M BROOKS

Original Issue Date

10/06/2005

Effective Date

10/06/2005

Expiration Date

03/31/2006

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006