LISA MARIE VAHLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120323

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

VAHLE

Business Name

LISA MARIE VAHLE

Original Issue Date

03/23/1998

Effective Date

03/23/1998

Expiration Date

03/31/1999

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005