BROOKE MARIE HASQUIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172031

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

MARIE

Last Name

HASQUIN

Business Name

BROOKE MARIE HASQUIN

Original Issue Date

10/24/2006

Effective Date

03/08/2013

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014