LACRETIA DENISE CARROLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143832

License Status

NOT RENEWED

Business

First Name

LACRETIA

Middle

DENISE

Last Name

CARROLL

Business Name

LACRETIA DENISE CARROLL

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005