LANETTA IOLA TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134632

License Status

NOT RENEWED

Business

First Name

LANETTA

Middle

IOLA

Last Name

TRAVIS

Business Name

LANETTA IOLA TRAVIS

Original Issue Date

02/21/2001

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021