LAURIE J EBNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069863

License Status

NOT RENEWED

Business

First Name

LAURIE J

Last Name

EBNER

Business Name

LAURIE J EBNER

Original Issue Date

08/07/1978

Effective Date

02/05/2014

Expiration Date

03/31/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015