LARA K E FETZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169663

License Status

NOT RENEWED

Business

First Name

LARA

Middle

K E

Last Name

FETZER

Business Name

LARA K E FETZER

Original Issue Date

06/28/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011