LISA K PHELPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108899

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

PHELPS

Business Name

LISA K PHELPS

Original Issue Date

11/23/1994

Effective Date

11/23/1994

Expiration Date

03/31/1995

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005