MARIE S LODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131439

License Status

NOT RENEWED

Business

First Name

MARIE S

Last Name

LODGE

Business Name

MARIE S LODGE

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

03/31/2005

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005