JEBORA L BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179826

License Status

NOT RENEWED

Business

First Name

JEBORA

Middle

Last Name

BROCK

Business Name

JEBORA L BROCK

Original Issue Date

10/09/2007

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

FOWLER

State

Zip

62338

County

ADAMS

Ever Disciplined

LastModifiedDate

05/12/2011