KATHERINE ELLEN LAVAZZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170835

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

ELLEN

Last Name

LAVAZZA

Business Name

KATHERINE ELLEN LAVAZZA

Original Issue Date

08/25/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008