LISA M KOHOUTEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162198

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KOHOUTEK

Business Name

LISA M KOHOUTEK

Original Issue Date

07/13/2005

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

KENILWORTH

State

Zip

60043

Ever Disciplined

LastModifiedDate

05/12/2011