BROOKELIN J HENTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229991

License Status

NOT RENEWED

Business

First Name

BROOKELIN

Middle

Last Name

HENTZ

Business Name

BROOKELIN J HENTZ

Original Issue Date

12/17/2014

Effective Date

12/17/2014

Expiration Date

03/31/2015

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/11/2015