LISA MICHELLE PALACIOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168706

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

PALACIOS

Business Name

LISA MICHELLE PALACIOS

Original Issue Date

05/17/2006

Effective Date

05/17/2006

Expiration Date

03/31/2007

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/14/2007