LISA AGNIESZKA KUPIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108788

License Status

NOT RENEWED

Business

First Name

LISA

Middle

AGNIESZKA

Last Name

KUPIS

Prefix

MISS

Business Name

LISA AGNIESZKA KUPIS

Original Issue Date

11/09/1994

Effective Date

11/09/1994

Expiration Date

03/31/1997

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005