LISA M STORTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148001

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

STORTZ

Business Name

LISA M STORTZ

Original Issue Date

04/15/2003

Effective Date

04/15/2003

Expiration Date

03/31/2005

City

JOLIET

State

Zip

60431

Ever Disciplined

LastModifiedDate

10/20/2005