MAIA R LERCHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142402

License Status

NOT RENEWED

Business

First Name

MAIA

Middle

Last Name

LERCHEN

Business Name

MAIA R LERCHEN

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

03/31/2003

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005