DONNA L BROOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202495

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

BROOME

Prefix

Business Name

DONNA L BROOME

Original Issue Date

01/25/2011

Effective Date

01/25/2011

Expiration Date

03/31/2012

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/07/2012