ALICIA TOMIKO BROCK - Pharmacist License in Illinois | # 049155459

ALICIA TOMIKO BROCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155459

License Status

NOT RENEWED

Business

N

First Name

ALICIA

Middle

TOMIKO

Last Name

BROCK

Business Name

ALICIA TOMIKO BROCK

Original Issue Date

06/21/2004

Effective Date

02/15/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012