LISA BETH WALCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113866

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005