ROBERTA L LOTT-DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111068

License Status

NOT RENEWED

Business

First Name

ROBERTA L

Last Name

LOTT-DOUGLAS

Business Name

ROBERTA L LOTT-DOUGLAS

Original Issue Date

07/12/1995

Effective Date

07/12/1995

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005