LISA M KALUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091848

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

KALUSA

Business Name

LISA M KALUSA

Original Issue Date

12/12/1989

Effective Date

12/12/1989

Expiration Date

03/31/1993

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005