LISA M BIELEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087483

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

BIELEMA

Business Name

LISA M BIELEMA

Original Issue Date

08/06/1988

Effective Date

08/06/1988

Expiration Date

03/31/1990

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005