LISA A ADAMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140586

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

ADAMS

Business Name

LISA A ADAMS

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

03/31/2005

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005