LISA LYNN LEBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154552

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LYNN

Last Name

LEBAN

Business Name

LISA LYNN LEBAN

Original Issue Date

05/24/2004

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016