LAURA ANN POVOLISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140020

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

POVOLISH

Business Name

LAURA ANN POVOLISH

Original Issue Date

01/16/2002

Effective Date

01/16/2002

Expiration Date

03/31/2003

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005