LESA L AUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139983

License Status

NOT RENEWED

Business

First Name

LESA

Middle

Last Name

AUSTIN

Business Name

LESA L AUSTIN

Original Issue Date

01/15/2002

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011