SHELLEY I BROCK - Pharmacist License in Illinois | # 049136452

SHELLEY I BROCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136452

License Status

NOT RENEWED

Business

N

First Name

SHELLEY

Middle

I

Last Name

BROCK

Business Name

SHELLEY I BROCK

Original Issue Date

05/25/2001

Effective Date

05/25/2001

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006