DAWN E BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082913

License Status

NOT RENEWED

Business

First Name

DAWN E

Last Name

BROCK

Business Name

DAWN E BROCK

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

03/31/1988

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005