LORI J KOSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152268

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

KOSSMAN

Business Name

LORI J KOSSMAN

Original Issue Date

12/01/2003

Effective Date

12/01/2003

Expiration Date

03/31/2006

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2006