LORI A SELF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092294

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

SELF

Business Name

LORI A SELF

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

03/31/1992

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005