LORI A VIDEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194361

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

VIDEAN

Business Name

LORI A VIDEAN

Original Issue Date

09/21/2009

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012