TIMOTHY PATRICK BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153396

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

BROCK

Business Name

TIMOTHY PATRICK BROCK

Original Issue Date

03/01/2004

Effective Date

03/25/2013

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014