LORIE L STARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198045

License Status

NOT RENEWED

Business

First Name

LORIE

Middle

Last Name

STARK

Prefix

Business Name

LORIE L STARK

Original Issue Date

04/26/2010

Effective Date

04/26/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011