ADAM TIMOTHY LOCKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141832

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

TIMOTHY

Last Name

LOCKE

Business Name

ADAM TIMOTHY LOCKE

Original Issue Date

04/12/2002

Effective Date

07/22/2013

Expiration Date

03/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014