LORIE MEMBARDT - Pharmacist License in Illinois | # 049062386

LORIE MEMBARDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062386

License Status

NOT RENEWED

Business

N

First Name

LORIE

Last Name

MEMBARDT

Business Name

LORIE MEMBARDT

Original Issue Date

10/11/1974

Effective Date

10/11/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005