LAWRENCE F ORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096089

License Status

NOT RENEWED

Business

First Name

LAWRENCE F

Last Name

ORTH

Business Name

LAWRENCE F ORTH

Original Issue Date

03/12/1991

Effective Date

03/12/1991

Expiration Date

03/31/1993

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005