LISA R FAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091720

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

FAIR

Business Name

LISA R FAIR

Original Issue Date

12/02/1989

Effective Date

12/02/1989

Expiration Date

03/31/1993

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005