LARYLYNN F GERONIMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148453

License Status

NOT RENEWED

Business

First Name

LARYLYNN

Middle

Last Name

GERONIMO

Business Name

LARYLYNN F GERONIMO

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005