MARY KAY BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156854

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KAY

Last Name

BROCK

Business Name

MARY KAY BROCK

Original Issue Date

08/23/2004

Effective Date

01/12/2011

Expiration Date

03/31/2012

City

KNOXVILLE

State

Zip

61448

County

KNOX

Ever Disciplined

LastModifiedDate

05/07/2012