LISA R MODELEVSKY - Pharmacist License in New York | # 049130023

LISA R MODELEVSKY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130023

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

R

Last Name

MODELEVSKY

Business Name

LISA R MODELEVSKY

Original Issue Date

03/16/2000

Effective Date

03/01/2012

Expiration Date

03/31/2013

State

NY

Ever Disciplined

N

LastModifiedDate

05/06/2013