BROOKE A VANNETTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187486

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

VANNETTEN

Business Name

BROOKE A VANNETTEN

Original Issue Date

10/02/2008

Effective Date

10/02/2008

Expiration Date

03/31/2009

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2009