LISA M WALDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104724

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

WALDEN

Business Name

LISA M WALDEN

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

03/31/1997

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005