LAURA VERONICA MATHIESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136462

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

VERONICA

Last Name

MATHIESEN

Business Name

LAURA VERONICA MATHIESEN

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

03/31/2002

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005