LISA M DIRKS - Pharmacist License in Illinois | # 049140024

LISA M DIRKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140024

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

DIRKS

Business Name

LISA M DIRKS

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005