ANDREA L LAVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143802

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

LAVINE

Business Name

ANDREA L LAVINE

Original Issue Date

07/23/2002

Effective Date

07/23/2002

Expiration Date

03/31/2003

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005