LISA MARIE BOULOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114775

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

BOULOS

Business Name

LISA MARIE BOULOS

Original Issue Date

08/01/1996

Effective Date

08/01/1996

Expiration Date

03/31/1998

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005