LANCELOT ASSAM EBOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163964

License Status

NOT RENEWED

Business

First Name

LANCELOT

Middle

ASSAM

Last Name

EBOT

Business Name

LANCELOT ASSAM EBOT

Original Issue Date

09/16/2005

Effective Date

09/16/2005

Expiration Date

03/31/2006

City

STEGER

State

Zip

60475

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006