MARIE S LODGE - Pharmacist License in Illinois | # 049131439

MARIE S LODGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131439

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005