LORI EITEN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069969

License Status

CANCELLED

Business

First Name

LORI

Last Name

EITEN

Business Name

LORI EITEN

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

03/31/1982

City

LADD

State

Zip

61329

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005