MARISSA MAKO BROKHOF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170223

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

MAKO

Last Name

BROKHOF

Business Name

MARISSA MAKO BROKHOF

Original Issue Date

07/26/2006

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012