AMANDA JO MCBROOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179934

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MCBROOM

Business Name

AMANDA JO MCBROOM

Original Issue Date

10/15/2007

Effective Date

10/15/2007

Expiration Date

03/31/2008

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/02/2008