LISA DAWN WITTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126205

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DAWN

Last Name

WITTE

Business Name

LISA DAWN WITTE

Original Issue Date

06/04/1999

Effective Date

06/04/1999

Expiration Date

03/31/2005

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005