SHELLEY I BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136452

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

BROCK

Business Name

SHELLEY I BROCK

Original Issue Date

05/25/2001

Effective Date

05/25/2001

Expiration Date

03/31/2006

City

ESMOND

State

Zip

60129

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2006