LISA C KOPITKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163876

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KOPITKE

Business Name

LISA C KOPITKE

Original Issue Date

09/14/2005

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022