LISA A DVORAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114005

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

DVORAK

Business Name

LISA A DVORAK

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

03/31/1998

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/17/2005