LAUREN RAE BONVILLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195536

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

RAE

Last Name

BONVILLAIN

Business Name

LAUREN RAE BONVILLAIN

Original Issue Date

11/23/2009

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

NORMAL

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/20/2016