LISA M DIRKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140024

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

DIRKS

Business Name

LISA M DIRKS

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/20/2005