LAURA M HULTQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108995

License Status

NOT RENEWED

Business

First Name

LAURA M

Last Name

HULTQUIST

Business Name

LAURA M HULTQUIST

Original Issue Date

12/05/1994

Effective Date

12/05/1994

Expiration Date

03/31/1996

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005