LA VERNE NOVELLA LAWRENCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052295

License Status

NOT RENEWED

Business

First Name

LA VERNE NOVELLA

Last Name

LAWRENCE

Business Name

LA VERNE NOVELLA LAWRENCE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005