LISA ANN CHILDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128707

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

CHILDERS

Business Name

LISA ANN CHILDERS

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/31/2004

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005