LISA M VALENZUELA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179117

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

VALENZUELA

Business Name

LISA M VALENZUELA

Original Issue Date

09/10/2007

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013