LORI A BAGOSY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038881

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

BAGOSY

Business Name

LORI A BAGOSY

Original Issue Date

08/11/1992

Effective Date

01/19/2012

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014