LISA M DOMER - Pharmacist License in Illinois | # 049204020

LISA M DOMER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204020

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

DOMER

Business Name

LISA M DOMER

Original Issue Date

05/06/2011

Effective Date

04/04/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014