BROOKE L WARD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191813

License Status

INACTIVE

Business

First Name

BROOKE

Middle

Last Name

WARD

Business Name

BROOKE L WARD

Original Issue Date

05/20/2009

Effective Date

05/20/2009

Expiration Date

03/31/2010

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

01/12/2010