CHAD M BROKAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184290

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

BROKAW

Business Name

CHAD M BROKAW

Original Issue Date

05/16/2008

Effective Date

03/20/2018

Expiration Date

03/31/2019

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

07/15/2019