LISA MARIE ROCHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100996

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

ROCHE

Business Name

LISA MARIE ROCHE

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005