LAURA A STREET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149699

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

STREET

Business Name

LAURA A STREET

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005