LISA MARIE MOHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128266

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

MOHAN

Business Name

LISA MARIE MOHAN

Original Issue Date

11/18/1999

Effective Date

11/18/1999

Expiration Date

03/31/2006

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006