KATHY J BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215008

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

BROCK

Business Name

KATHY J BROCK

Original Issue Date

12/13/2012

Effective Date

12/13/2012

Expiration Date

03/31/2013

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2013