LISA A BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167793

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BROOKS

Business Name

LISA A BROOKS

Original Issue Date

04/13/2006

Effective Date

04/13/2006

Expiration Date

03/31/2007

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007