MARIA LYNN FIORENTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145127

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

LYNN

Last Name

FIORENTIN

Business Name

MARIA LYNN FIORENTIN

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/31/2006

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006