BROOKE E FALAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175671

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

FALAT

Business Name

BROOKE E FALAT

Original Issue Date

04/19/2007

Effective Date

04/19/2007

Expiration Date

03/31/2008

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

05/02/2008