LISA MARIE HUIZENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125517

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

HUIZENGA

Business Name

LISA MARIE HUIZENGA

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

03/31/2001

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/21/2005