ERIANNE BROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282435

License Status

NOT RENEWED

Business

First Name

ERIANNE

Last Name

BROCK

Business Name

ERIANNE BROCK

Original Issue Date

05/19/2021

Effective Date

05/19/2021

Expiration Date

05/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022