LISA ANNE HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134185

License Status

NOT RENEWED

Business

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

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005