LILLY LE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159602

License Status

NOT RENEWED

Business

First Name

LILLY

Last Name

Business Name

LILLY LE

Original Issue Date

03/17/2005

Effective Date

03/17/2005

Expiration Date

03/31/2006

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006