BROCK J HOLST - Pharmacist License in Illinois | # 049070052

BROCK J HOLST

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070052

License Status

CANCELLED

Business

N

First Name

BROCK J

Last Name

HOLST

Business Name

BROCK J HOLST

Original Issue Date

09/08/1978

Effective Date

09/08/1978

Expiration Date

03/31/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005