LOREN JESSICA HAVRILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137344

License Status

NOT RENEWED

Business

First Name

LOREN

Middle

JESSICA

Last Name

HAVRILLA

Business Name

LOREN JESSICA HAVRILLA

Original Issue Date

07/23/2001

Effective Date

07/23/2001

Expiration Date

03/31/2003

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005