LISETTA R COUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157823

License Status

NOT RENEWED

Business

First Name

LISETTA

Middle

Last Name

COUCH

Business Name

LISETTA R COUCH

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

03/31/2005

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005