ANNETTE M LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096842

License Status

NOT RENEWED

Business

First Name

ANNETTE M

Last Name

LOPEZ

Business Name

ANNETTE M LOPEZ

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

03/31/1994

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005