LISA S DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080223

License Status

NOT RENEWED

Business

First Name

LISA S

Last Name

DOUGLAS

Business Name

LISA S DOUGLAS

Original Issue Date

09/06/1984

Effective Date

09/06/1984

Expiration Date

03/31/1986

City

PARK FOREST

State

Zip

60416

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005