BROOK MAE VAN HISE - Pharmacist License in Illinois | # 049295720

BROOK MAE VAN HISE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295720

License Status

NOT RENEWED

Business

N

First Name

BROOK

Middle

MAE

Last Name

VAN HISE

Business Name

BROOK MAE VAN HISE

Original Issue Date

09/09/2022

Effective Date

02/09/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

09/09/2025