LISA D GOTTHARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082206

License Status

NOT RENEWED

Business

First Name

LISA D

Last Name

GOTTHARDT

Business Name

LISA D GOTTHARDT

Original Issue Date

02/14/1986

Effective Date

02/14/1986

Expiration Date

03/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005