LISA A MODESITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079700

License Status

NOT RENEWED

Business

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

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005