LISA MICHELLE MCCOY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140955

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

MCCOY

Business Name

LISA MICHELLE MCCOY

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

03/31/2006

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006