CODY ULRICH BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265871

License Status

NOT RENEWED

Business

First Name

CODY

Middle

ULRICH

Last Name

BROOKS

Business Name

CODY ULRICH BROOKS

Original Issue Date

06/06/2019

Effective Date

01/27/2021

Expiration Date

05/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022