LISA FAYE PROESEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172934

License Status

NOT RENEWED

Business

First Name

LISA

Middle

FAYE

Last Name

PROESEL

Business Name

LISA FAYE PROESEL

Original Issue Date

12/04/2006

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/07/2012