BETH M LAITALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130557

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

LAITALA

Business Name

BETH M LAITALA

Original Issue Date

04/14/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008