LAUREN MARIE BAKULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136251

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MARIE

Last Name

BAKULA

Business Name

LAUREN MARIE BAKULA

Original Issue Date

05/10/2001

Effective Date

05/10/2001

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005