ANDREA BROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165608

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

BROOKS

Business Name

ANDREA BROOKS

Original Issue Date

12/14/2005

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

PORT WASHINGTON

State

Zip

53074

Ever Disciplined

LastModifiedDate

05/04/2010