ASHANNTI LAVIN - Pharmacist License in Illinois | # 049158002

ASHANNTI LAVIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158002

License Status

NOT RENEWED

Business

N

First Name

ASHANNTI

Last Name

LAVIN

Business Name

ASHANNTI LAVIN

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005