LISA A EVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171017

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

EVAN

Business Name

LISA A EVAN

Original Issue Date

09/01/2006

Effective Date

09/01/2006

Expiration Date

03/31/2007

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007