LISA D PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136439

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PHILLIPS

Business Name

LISA D PHILLIPS

Original Issue Date

05/25/2001

Effective Date

05/25/2001

Expiration Date

03/31/2002

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

12/06/2005