BROOKE ASHLEY MODJESKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191027

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ASHLEY

Last Name

MODJESKI

Business Name

BROOKE ASHLEY MODJESKI

Original Issue Date

04/14/2009

Effective Date

02/08/2010

Expiration Date

03/31/2011

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011