ALYSSA ANNE LORENZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266390

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

ANNE

Last Name

LORENZEN

Business Name

ALYSSA ANNE LORENZEN

Original Issue Date

07/01/2019

Effective Date

02/16/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022