LEA ANN BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151693

License Status

NOT RENEWED

Business

First Name

LEA

Middle

ANN

Last Name

BROCK

Business Name

LEA ANN BROCK

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2004

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005