LOLA M PAXTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148602

License Status

NOT RENEWED

Business

First Name

LOLA

Middle

Last Name

PAXTON

Business Name

LOLA M PAXTON

Original Issue Date

05/23/2003

Effective Date

05/23/2003

Expiration Date

03/31/2005

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/20/2005