DAVIDA DION BROOKBANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229186

License Status

NOT RENEWED

Business

First Name

DAVIDA

Middle

DION

Last Name

BROOKBANK

Business Name

DAVIDA DION BROOKBANK

Original Issue Date

11/12/2014

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017