LISA A MODESITT - Pharmacist License in Illinois | # 049079700

LISA A MODESITT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079700

License Status

NOT RENEWED

Business

N

First Name

LISA A

Last Name

MODESITT

Business Name

LISA A MODESITT

Original Issue Date

04/19/1984

Effective Date

04/19/1984

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005