LANDON LAMAR POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141812

License Status

NOT RENEWED

Business

First Name

LANDON

Middle

LAMAR

Last Name

POWELL

Business Name

LANDON LAMAR POWELL

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005