BROCK JORDAN PAVLIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236751

License Status

NOT RENEWED

Business

First Name

BROCK

Middle

JORDAN

Last Name

PAVLIK

Business Name

BROCK JORDAN PAVLIK

Original Issue Date

10/05/2015

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2021