KIMBERLY T LISAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153634

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

LISAK

Business Name

KIMBERLY T LISAK

Original Issue Date

03/15/2004

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015