BROOKSIDE PHARMACY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008893

License Status

CHANGE OF OWNERSHIP

Business

Business Name

BROOKSIDE PHARMACY INC

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005