ANDREA L LAVINE - Pharmacist License in Illinois | # 049143802

ANDREA L LAVINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143802

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

L

Last Name

LAVINE

Business Name

ANDREA L LAVINE

Original Issue Date

07/23/2002

Effective Date

07/23/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005