BEVERLY S LAFAYETTE - Pharmacist License in Illinois | # 049096961

BEVERLY S LAFAYETTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096961

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007