ALISA R WELBOURN - Pharmacist License in Illinois | # 049198101

ALISA R WELBOURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198101

License Status

NOT RENEWED

Business

N

First Name

ALISA

Middle

R

Last Name

WELBOURN

Business Name

ALISA R WELBOURN

Original Issue Date

04/29/2010

Effective Date

02/04/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015