LORA LEA ANZALONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155581

License Status

NOT RENEWED

Business

First Name

LORA

Middle

LEA

Last Name

ANZALONE

Business Name

LORA LEA ANZALONE

Original Issue Date

06/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WEBSTER GROVES

State

Zip

63119

Ever Disciplined

LastModifiedDate

05/14/2007