APRIL DIANE BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210359

License Status

NOT RENEWED

Business

First Name

APRIL

Middle

DIANE

Last Name

BROCK

Business Name

APRIL DIANE BROCK

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

03/31/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/12/2013