ALISA KUSOLVISITKUL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152651

License Status

NOT RENEWED

Business

First Name

ALISA

Last Name

KUSOLVISITKUL

Business Name

ALISA KUSOLVISITKUL

Original Issue Date

12/19/2003

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

LOS ANGELES

State

Zip

90065

Ever Disciplined

LastModifiedDate

05/04/2010