LAURA J BERTAGNOLLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108982

License Status

NOT RENEWED

Business

First Name

LAURA J

Last Name

BERTAGNOLLI

Business Name

LAURA J BERTAGNOLLI

Original Issue Date

12/02/1994

Effective Date

12/02/1994

Expiration Date

03/31/1995

City

LILLY LAKE

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005