NANCY S LORENTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057461

License Status

NOT RENEWED

Business

First Name

NANCY S

Last Name

LORENTZ

Business Name

NANCY S LORENTZ

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

01/01/1997

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005