ALICIA TOMIKO BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155459

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

TOMIKO

Last Name

BROCK

Business Name

ALICIA TOMIKO BROCK

Original Issue Date

06/21/2004

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012