LAURIE L WHITESIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102451

License Status

NOT RENEWED

Business

First Name

LAURIE L

Last Name

WHITESIDE

Business Name

LAURIE L WHITESIDE

Original Issue Date

02/19/1993

Effective Date

02/19/1993

Expiration Date

03/31/1995

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005