LAUREN SUSAN SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145937

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

SUSAN

Last Name

SIMMONS

Business Name

LAUREN SUSAN SIMMONS

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005