LAURA R HITESMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265775

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HITESMAN

Business Name

LAURA R HITESMAN

Original Issue Date

06/03/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MACKINAW

State

Zip

61755

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021