PATRICE M LASSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138535

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

LASSA

Business Name

PATRICE M LASSA

Original Issue Date

10/02/2001

Effective Date

10/02/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005