LISA MARIE IHSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131146

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

IHSSEN

Business Name

LISA MARIE IHSSEN

Original Issue Date

06/13/2000

Effective Date

06/13/2000

Expiration Date

03/31/2005

City

HAMPSHIRE

State

Zip

60140

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005