LISA RENEE POTTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129952

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

POTTS

Business Name

LISA RENEE POTTS

Original Issue Date

03/14/2000

Effective Date

03/14/2000

Expiration Date

03/31/2002

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

12/06/2005