ROBERTA A BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204398

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

BROCK

Prefix

Business Name

ROBERTA A BROCK

Original Issue Date

05/25/2011

Effective Date

05/25/2011

Expiration Date

03/31/2012

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012