LERIN NICOLE BANAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163569

License Status

NOT RENEWED

Business

First Name

LERIN

Middle

NICOLE

Last Name

BANAS

Business Name

LERIN NICOLE BANAS

Original Issue Date

09/06/2005

Effective Date

03/15/2013

Expiration Date

03/31/2014

City

MARION

State

Zip

62959

Ever Disciplined

LastModifiedDate

05/06/2014