TRAVIS JOHN LASELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143611

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

JOHN

Last Name

LASELLE

Business Name

TRAVIS JOHN LASELLE

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

03/31/2003

City

SPOKANE

State

Zip

99223

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/20/2005