MADISON LASALLE UNDERWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049299684

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

LASALLE

Last Name

UNDERWOOD

Business Name

MADISON LASALLE UNDERWOOD

Original Issue Date

02/06/2023

Effective Date

02/22/2024

Expiration Date

03/31/2025

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/08/2025