STEPHANIE A LA VALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129205

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

LA VALLA

Business Name

STEPHANIE A LA VALLA

Original Issue Date

02/09/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007