LISA A COLQUETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085566

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

COLQUETT

Business Name

LISA A COLQUETT

Original Issue Date

11/07/1987

Effective Date

11/07/1987

Expiration Date

03/31/1989

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005