LISA M BRECLAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076699

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

BRECLAW

Business Name

LISA M BRECLAW

Original Issue Date

07/06/1982

Effective Date

07/06/1982

Expiration Date

03/31/1986

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005