DAN S LASAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126767

License Status

NOT RENEWED

Business

First Name

DAN

Middle

Last Name

LASAGE

Business Name

DAN S LASAGE

Original Issue Date

07/23/1999

Effective Date

07/23/1999

Expiration Date

03/31/2001

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005