BRANDY M BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145428

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

BROCK

Business Name

BRANDY M BROCK

Original Issue Date

10/22/2002

Effective Date

10/22/2002

Expiration Date

03/31/2004

City

VILLA RIDGE

State

Zip

62996

County

PULASKI

Ever Disciplined

LastModifiedDate

10/20/2005