ASHLEY ANN DEKOCK MD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296275

License Status

INACTIVE

Business

Title

First Name

ASHLEY

Middle

ANN

Last Name

DEKOCK

Business Name

ASHLEY ANN DEKOCK MD

Original Issue Date

10/03/2012

Effective Date

10/03/2012

Expiration Date

03/31/2014

City

PHOENIX

State

Zip

85083

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/09/2014