LISA A VITALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088557

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

VITALE

Business Name

LISA A VITALE

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

03/31/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005