LAURA A AYASSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086628

License Status

NOT RENEWED

Business

First Name

LAURA A

Last Name

AYASSE

Business Name

LAURA A AYASSE

Original Issue Date

05/14/1988

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013