PHILLIS A BROWN BROCK - Pharmacist License in Illinois | # 049062399

PHILLIS A BROWN BROCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062399

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005