LEA C SEGUBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155822

License Status

NOT RENEWED

Business

First Name

LEA

Middle

Last Name

SEGUBAN

Business Name

LEA C SEGUBAN

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005