LISA D PENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141680

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PENSON

Business Name

LISA D PENSON

Original Issue Date

04/05/2002

Effective Date

04/05/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005