URSULA A LAKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138724

License Status

NOT RENEWED

Business

First Name

URSULA

Middle

Last Name

LAKES

Business Name

URSULA A LAKES

Original Issue Date

10/17/2001

Effective Date

05/29/2007

Expiration Date

03/31/2008

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008