LAWNYA NATE MADLOCK - Pharmacist License in Illinois | # 049154635

LAWNYA NATE MADLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154635

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010