LAWNYA NATE MADLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154635

License Status

NOT RENEWED

Business

First Name

LAWNYA

Middle

NATE

Last Name

MADLOCK

Business Name

LAWNYA NATE MADLOCK

Original Issue Date

05/28/2004

Effective Date

05/21/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010