CAROLYN KELLY LAGATTUTA DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185420

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

KELLY

Last Name

LAGATTUTA

Prefix

Business Name

CAROLYN KELLY LAGATTUTA DO

Original Issue Date

07/09/2008

Effective Date

07/09/2008

Expiration Date

03/31/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009