KELLY A BROCK - Pharmacist License in California | # 051289743

KELLY A BROCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289743

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

A

Last Name

BROCK

Business Name

KELLY A BROCK

Original Issue Date

11/04/2003

Effective Date

03/31/2004

Expiration Date

03/31/2006

State

CA

Ever Disciplined

N

LastModifiedDate

05/11/2006