LISETTA R COUCH - Pharmacist License in Illinois | # 049157823

LISETTA R COUCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157823

License Status

NOT RENEWED

Business

N

First Name

LISETTA

Middle

R

Last Name

COUCH

Business Name

LISETTA R COUCH

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005