LORA LEA ACKEBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119572

License Status

NOT RENEWED

Business

First Name

LORA

Middle

LEA

Last Name

ACKEBERG

Business Name

LORA LEA ACKEBERG

Original Issue Date

12/12/1997

Effective Date

12/12/1997

Expiration Date

03/31/2003

City

POLO

State

Zip

61064

County

CARROLL

Ever Disciplined

LastModifiedDate

10/20/2005