RegDetail

Last Updated:  12/26/2024 5:23:35 AM

Pharmacist Detail                        

Name 

 SAMUEL LEE  BROCK

Type 

 Doctor of Pharmacy 

Number

 13333 

Class

 Active 

City, State, Zip

 VANZANT,MO  65768 

Status

 CANCELED

Issue Date 

 11/19/2003 

Renewed Date

 07/16/2004

Expire Date 

 01/31/2005 

End Date 

 03/02/2005 

Preceptor?

 No 

Immunization?

 No 
 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.
Case Date   Case Number  
No Disciplinary Action 
 

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