LISA DIANE ANDREW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153251

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DIANE

Last Name

ANDREW

Business Name

LISA DIANE ANDREW

Original Issue Date

02/11/2004

Effective Date

02/11/2004

Expiration Date

03/31/2006

City

CHATHAM

State

Zip

62629

Ever Disciplined

LastModifiedDate

05/11/2006