BROOKE NICOLE TENNANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217233

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

NICOLE

Last Name

TENNANT

Business Name

BROOKE NICOLE TENNANT

Original Issue Date

04/08/2013

Effective Date

03/03/2020

Expiration Date

03/31/2021

City

INA

State

Zip

62846

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/20/2021