BROCK J HOLST Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070052

License Status

CANCELLED

Business

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

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005