CAROL ANN BROCK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061597

License Status

CANCELLED

Business

First Name

CAROL ANN

Last Name

BROCK

Business Name

CAROL ANN BROCK

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

10/17/2005