BROCKTON S STOTLAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166667

License Status

NOT RENEWED

Business

First Name

BROCKTON

Middle

Last Name

STOTLAR

Business Name

BROCKTON S STOTLAR

Original Issue Date

03/08/2006

Effective Date

03/26/2012

Expiration Date

03/31/2013

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2013