LORI ANN MASULIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253431

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

MASULIS

Business Name

LORI ANN MASULIS

Original Issue Date

09/27/2017

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/15/2019