LAWRENCE D ANDRIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147001

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

ANDRIST

Business Name

LAWRENCE D ANDRIST

Original Issue Date

02/14/2003

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2012

Case Number

2011004469

Action

Revocation

Discipline Start Date

07/13/2012

Discipline Reason

for diverting controlled substances from his employer.