AVA JEAN LOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114907

License Status

NOT RENEWED

Business

First Name

AVA JEAN

Last Name

LOCK

Business Name

AVA JEAN LOCK

Original Issue Date

08/08/1996

Effective Date

06/11/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009