RAQUEL MARIE BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222680

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

MARIE

Last Name

BROCK

Business Name

RAQUEL MARIE BROCK

Original Issue Date

12/30/2013

Effective Date

03/23/2015

Expiration Date

03/31/2016

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/20/2016