LISA D FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099605

License Status

NOT RENEWED

Business

First Name

LISA D

Last Name

FERNANDEZ

Business Name

LISA D FERNANDEZ

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

03/31/1994

City

FAIRMONT CITY

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005