LAUREN E DAVALOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211565

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

DAVALOS

Business Name

LAUREN E DAVALOS

Original Issue Date

06/07/2012

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

05/10/2017