PATRICK A LAVELLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173204

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

LAVELLA

Business Name

PATRICK A LAVELLA

Original Issue Date

12/14/2006

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010