LAURIE B FASSETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112539

License Status

NOT RENEWED

Business

First Name

LAURIE B

Last Name

FASSETT

Business Name

LAURIE B FASSETT

Original Issue Date

11/18/1995

Effective Date

11/18/1995

Expiration Date

03/31/1996

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005