TRACY A LISSAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089019

License Status

NOT RENEWED

Business

First Name

TRACY A

Last Name

LISSAK

Business Name

TRACY A LISSAK

Original Issue Date

02/23/1989

Effective Date

02/23/1989

Expiration Date

03/31/1992

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005