AMY M BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172078

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BROCK

Business Name

AMY M BROCK

Original Issue Date

10/25/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008