BEVERLY S LAFAYETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096961

License Status

NOT RENEWED

Business

First Name

BEVERLY S

Last Name

LAFAYETTE

Business Name

BEVERLY S LAFAYETTE

Original Issue Date

05/22/1991

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007