GERALD A LAVENGOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027966

License Status

NOT RENEWED

Business

First Name

GERALD A

Last Name

LAVENGOOD

Business Name

GERALD A LAVENGOOD

Original Issue Date

01/01/1997

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016