LISA ANN WALK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071980

License Status

NOT RENEWED

Business

First Name

LISA ANN

Last Name

WALK

Business Name

LISA ANN WALK

Original Issue Date

10/05/1979

Effective Date

10/05/1979

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005