DEMI NICOL LENZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126322

License Status

NOT RENEWED

Business

First Name

DEMI

Middle

NICOL

Last Name

LENZ

Business Name

DEMI NICOL LENZ

Original Issue Date

06/15/1999

Effective Date

06/15/1999

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005