LORIE MEMBARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062386

License Status

NOT RENEWED

Business

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

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005