LISA M VAIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115158

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

VAIL

Business Name

LISA M VAIL

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

03/31/2006

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006