PHILLIS A BROWN BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062399

License Status

NOT RENEWED

Business

First Name

PHILLIS A BROWN

Last Name

BROCK

Business Name

PHILLIS A BROWN BROCK

Original Issue Date

10/18/1974

Effective Date

10/18/1974

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005