Pharmacist
PHARMACY TECHNICIAN
049063564
NOT RENEWED
N
JANICE MARGRETTA
LOUIE
JANICE MARGRETTA LOUIE
05/30/1975
05/30/1975
03/31/1997
HAZEL CREST
IL
60429
COOK
Y
10/17/2005
1990004130
Termination
01/03/1991
09/17/1992
Submitted a non-bankable remittance to the Department.