KETHLY LAZARE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123235

License Status

NOT RENEWED

Business

First Name

KETHLY

Last Name

LAZARE

Business Name

KETHLY LAZARE

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005