KATHY ANN BROCK SEIDELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061046

License Status

NOT RENEWED

Business

First Name

KATHY ANN BROCK

Last Name

SEIDELL

Business Name

KATHY ANN BROCK SEIDELL

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005