MARK EDWARD BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171873

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

BROOKS

Business Name

MARK EDWARD BROOKS

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

03/31/2007

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007