LISA M DOUGLASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114899

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

DOUGLASS

Business Name

LISA M DOUGLASS

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

03/31/1998

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005