LAURA L WACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097909

License Status

NOT RENEWED

Business

First Name

LAURA L

Last Name

WACK

Business Name

LAURA L WACK

Original Issue Date

08/29/1991

Effective Date

08/29/1991

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005