CHADWICK BROOKS BACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181719

License Status

NOT RENEWED

Business

First Name

CHADWICK

Middle

BROOKS

Last Name

BACON

Business Name

CHADWICK BROOKS BACON

Original Issue Date

01/24/2008

Effective Date

02/14/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015