ALISA R WELBOURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198101

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

Last Name

WELBOURN

Business Name

ALISA R WELBOURN

Original Issue Date

04/29/2010

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015