LAURA LYNN THEUNNISSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073371

License Status

NOT RENEWED

Business

First Name

LAURA LYNN

Last Name

THEUNNISSEN

Business Name

LAURA LYNN THEUNNISSEN

Original Issue Date

07/29/1980

Effective Date

07/29/1980

Expiration Date

03/31/1996

City

ALSIP

State

Zip

60658

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005