MARY LODGE - Pharmacist License in Illinois | # 049063024

MARY LODGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063024

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

LODGE

Business Name

MARY LODGE

Original Issue Date

02/28/1975

Effective Date

02/28/1975

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005