LISA BETH WALCZAK - Pharmacist License in Illinois | # 049113866

LISA BETH WALCZAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113866

License Status

NOT RENEWED

Business

N

First Name

LISA BETH

Last Name

WALCZAK

Business Name

LISA BETH WALCZAK

Original Issue Date

04/01/1996

Effective Date

04/01/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005