ED R LAUDERBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183446

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

LAUDERBACK

Prefix

Business Name

ED R LAUDERBACK

Original Issue Date

04/08/2008

Effective Date

03/15/2012

Expiration Date

03/31/2013

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013