LORA M DEQUILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109751

License Status

NOT RENEWED

Business

First Name

LORA

Middle

Last Name

DEQUILLA

Business Name

LORA M DEQUILLA

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005