ASHANNTI LAVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158002

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005