LAUREN E LAFONTAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228861

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

LAFONTAINE

Prefix

Business Name

LAUREN E LAFONTAINE

Original Issue Date

10/28/2014

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016