CARRIE ELISSA LENZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122203

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ELISSA

Last Name

LENZ

Business Name

CARRIE ELISSA LENZ

Original Issue Date

07/30/1998

Effective Date

07/30/1998

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005