LISA L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092881

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

ANDERSON

Business Name

LISA L ANDERSON

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

03/31/1991

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005