LISA J TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078937

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

TANNER

Business Name

LISA J TANNER

Original Issue Date

09/16/1983

Effective Date

09/16/1983

Expiration Date

03/31/1987

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005