IAN LISAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156053

License Status

NOT RENEWED

Business

First Name

IAN

Last Name

LISAK

Business Name

IAN LISAK

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

03/31/2005

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005