STEPHANIE ANN BROCKHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278660

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

BROCKHAUS

Business Name

STEPHANIE ANN BROCKHAUS

Original Issue Date

01/14/2021

Effective Date

01/14/2021

Expiration Date

05/31/2022

City

PLAINFIELD

State

Zip

60586

Ever Disciplined

LastModifiedDate

07/27/2022