LARA MICHELLE KONIECZNY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218764

License Status

NOT RENEWED

Business

First Name

LARA

Middle

MICHELLE

Last Name

KONIECZNY

Business Name

LARA MICHELLE KONIECZNY

Original Issue Date

06/14/2013

Effective Date

06/14/2013

Expiration Date

03/31/2014

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2014