KARISA LANE NALAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180751

License Status

NOT RENEWED

Business

First Name

KARISA

Middle

LANE

Last Name

NALAN

Business Name

KARISA LANE NALAN

Original Issue Date

11/28/2007

Effective Date

11/28/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008