KRISTI DIANE BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195810

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

DIANE

Last Name

BROOKS

Business Name

KRISTI DIANE BROOKS

Original Issue Date

12/10/2009

Effective Date

03/23/2012

Expiration Date

03/31/2013

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2013