LORI ANN URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075171

License Status

NOT RENEWED

Business

First Name

LORI ANN

Last Name

URBAN

Business Name

LORI ANN URBAN

Original Issue Date

08/17/1981

Effective Date

08/17/1981

Expiration Date

03/31/1986

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005