MICHAEL MYERS BROKAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308586

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MYERS

Last Name

BROKAW

Business Name

MICHAEL MYERS BROKAW

Original Issue Date

12/18/2023

Effective Date

02/09/2024

Expiration Date

03/31/2025

City

BLUE MOUND

State

Zip

62513

Ever Disciplined

LastModifiedDate

07/08/2025