LISA MARIE CLEMENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069149

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

CLEMENS

Business Name

LISA MARIE CLEMENS

Original Issue Date

04/14/1978

Effective Date

04/14/1978

Expiration Date

01/01/1997

City

GREENVIEW

State

Zip

62642

County

MENARD

Ever Disciplined

LastModifiedDate

10/17/2005