LISA EILEEN STALHEIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132229

License Status

NOT RENEWED

Business

First Name

LISA

Middle

EILEEN

Last Name

STALHEIM

Business Name

LISA EILEEN STALHEIM

Original Issue Date

08/17/2000

Effective Date

08/17/2000

Expiration Date

03/31/2003

City

DURAND

State

Zip

61024

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005