BROOKLYN NICOLE BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234683

License Status

NOT RENEWED

Business

First Name

BROOKLYN

Middle

NICOLE

Last Name

BERRY

Business Name

BROOKLYN NICOLE BERRY

Original Issue Date

07/22/2015

Effective Date

03/25/2016

Expiration Date

03/31/2017

City

VIRDEN

State

Zip

62690

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017