KATHY ANN LIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056290

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

LIESE

Business Name

KATHY ANN LIESE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005