LISA MARIE COUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140385

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

COUCH

Business Name

LISA MARIE COUCH

Original Issue Date

01/25/2002

Effective Date

01/25/2002

Expiration Date

03/31/2005

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005