LISA M URBAN HETH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073604

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

URBAN HETH

Business Name

LISA M URBAN HETH

Original Issue Date

09/19/1980

Effective Date

09/19/1980

Expiration Date

03/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005