LISA MARIE BRUNSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136544

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

BRUNSMAN

Business Name

LISA MARIE BRUNSMAN

Original Issue Date

06/01/2001

Effective Date

06/01/2001

Expiration Date

03/31/2006

City

MINIER

State

Zip

61759

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006