JO ANN C VAN BROCKLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113927

License Status

NOT RENEWED

Business

First Name

JO ANN C

Last Name

VAN BROCKLIN

Business Name

JO ANN C VAN BROCKLIN

Original Issue Date

04/06/1996

Effective Date

04/06/1996

Expiration Date

03/31/2004

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005