LISA LAVONNE SHEPHERD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125141

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LAVONNE

Last Name

SHEPHERD

Business Name

LISA LAVONNE SHEPHERD

Original Issue Date

03/25/1999

Effective Date

03/25/1999

Expiration Date

03/31/2000

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005