LISA M KORTUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105685

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

KORTUM

Business Name

LISA M KORTUM

Original Issue Date

01/12/1994

Effective Date

01/12/1994

Expiration Date

03/31/1995

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005