AMY RENEE BELLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197261

License Status

NOT RENEWED

Business

First Name

AMY

Middle

RENEE

Last Name

BELLOCK

Business Name

AMY RENEE BELLOCK

Original Issue Date

03/12/2010

Effective Date

03/14/2016

Expiration Date

03/31/2017

City

LAKE BARRINGTON

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017