LISA LORAZ TISDALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203332

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LORAZ

Last Name

TISDALE

Business Name

LISA LORAZ TISDALE

Original Issue Date

03/25/2011

Effective Date

03/25/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012