LISA ANN CHILDERS - Pharmacist License in Illinois | # 049128707

LISA ANN CHILDERS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128707

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ANN

Last Name

CHILDERS

Business Name

LISA ANN CHILDERS

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005