CONNIE G LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226107

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

LOPEZ

Business Name

CONNIE G LOPEZ

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015