LISA J MOMENT - Pharmacist License in Illinois | # 049098650

LISA J MOMENT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098650

License Status

NOT RENEWED

Business

N

First Name

LISA J

Last Name

MOMENT

Business Name

LISA J MOMENT

Original Issue Date

11/12/1991

Effective Date

11/12/1991

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005