LISA S KWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193655

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KWAK

Business Name

LISA S KWAK

Original Issue Date

08/17/2009

Effective Date

06/28/2011

Expiration Date

03/31/2012

City

IOWA CITY

State

Zip

52245

County

IOWA

Ever Disciplined

LastModifiedDate

05/07/2012