LISA A MIHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082133

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

MIHM

Business Name

LISA A MIHM

Original Issue Date

01/23/1986

Effective Date

01/23/1986

Expiration Date

03/31/1987

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005