LISA A SHREVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133869

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

SHREVES

Business Name

LISA A SHREVES

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005