BROOKE LARESHA CROFT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195893

License Status

INACTIVE

Business

First Name

BROOKE

Middle

LARESHA

Last Name

CROFT

Business Name

BROOKE LARESHA CROFT

Original Issue Date

12/16/2009

Effective Date

02/01/2011

Expiration Date

03/31/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012