MARY M BRUKETTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033180

License Status

INACTIVE

Business

First Name

MARY M

Last Name

BRUKETTA

Business Name

MARY M BRUKETTA

Original Issue Date

05/15/1980

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2020