MAXWELL KAYWIN BROOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184424

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

KAYWIN

Last Name

BROOK

Business Name

MAXWELL KAYWIN BROOK

Original Issue Date

05/21/2008

Effective Date

07/30/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010