PATRICE M LASSA - Pharmacist License in Illinois | # 049138535

PATRICE M LASSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138535

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Middle

M

Last Name

LASSA

Business Name

PATRICE M LASSA

Original Issue Date

10/02/2001

Effective Date

10/02/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005