BRADLEY D BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090850

License Status

NOT RENEWED

Business

First Name

BRADLEY D

Last Name

BROCK

Business Name

BRADLEY D BROCK

Original Issue Date

08/08/1989

Effective Date

08/08/1989

Expiration Date

03/31/1990

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005