La Verne Novella Lawrence
ExpiredIllinois license 049052295
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049052295
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- La Verne Novella Lawrence
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Carbondale, IL 62901
Jackson County