NICHOLAS STEVE BRUKETTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030245

License Status

INACTIVE

Business

First Name

NICHOLAS STEVE

Last Name

BRUKETTA

Business Name

NICHOLAS STEVE BRUKETTA

Original Issue Date

12/16/1974

Effective Date

01/22/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2020