JOSEPHINE M LUSALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188673

License Status

NOT RENEWED

Business

First Name

JOSEPHINE

Middle

Last Name

LUSALA

Prefix

Business Name

JOSEPHINE M LUSALA

Original Issue Date

12/12/2008

Effective Date

12/12/2008

Expiration Date

03/31/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2009