LISA ANNE HERNANDEZ - Pharmacist License in Illinois | # 049134185

LISA ANNE HERNANDEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134185

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ANNE

Last Name

HERNANDEZ

Business Name

LISA ANNE HERNANDEZ

Original Issue Date

12/21/2000

Effective Date

12/21/2000

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005