LISA M MINER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189786

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MINER

Prefix

Business Name

LISA M MINER

Original Issue Date

02/23/2009

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017