GAYLE LYNN LAGERQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080499

License Status

NOT RENEWED

Business

First Name

GAYLE LYNN

Last Name

LAGERQUIST

Business Name

GAYLE LYNN LAGERQUIST

Original Issue Date

11/30/1984

Effective Date

11/30/1984

Expiration Date

03/31/1995

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005