VAN M LA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208307

License Status

NOT RENEWED

Business

First Name

VAN

Middle

Last Name

Business Name

VAN M LA

Original Issue Date

12/16/2011

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013