LAUREN M FONDRIEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203499

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

FONDRIEST

Business Name

LAUREN M FONDRIEST

Original Issue Date

04/05/2011

Effective Date

04/05/2011

Expiration Date

03/31/2012

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012