LISA J MOMENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098650

License Status

NOT RENEWED

Business

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

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005