LISA MICHELE COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133029

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELE

Last Name

COLLINS

Business Name

LISA MICHELE COLLINS

Original Issue Date

10/11/2000

Effective Date

10/11/2000

Expiration Date

03/31/2001

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/21/2005