LAUREN M BONVALLET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169273

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

BONVALLET

Business Name

LAUREN M BONVALLET

Original Issue Date

06/13/2006

Effective Date

06/13/2006

Expiration Date

03/31/2007

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007