LAUREL THOMAS PALMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063636

License Status

NOT RENEWED

Business

First Name

LAUREL THOMAS

Last Name

PALMER

Business Name

LAUREL THOMAS PALMER

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005