BROOKE JANAE BLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261538

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

JANAE

Last Name

BLY

Business Name

BROOKE JANAE BLY

Original Issue Date

11/28/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

OMAHA

State

Zip

68135

Ever Disciplined

LastModifiedDate

07/20/2021