LEA ANN BROCK - Pharmacist License in Illinois | # 049151693

LEA ANN BROCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151693

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005