LISA M DOMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204020

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

DOMER

Business Name

LISA M DOMER

Original Issue Date

05/06/2011

Effective Date

04/04/2013

Expiration Date

03/31/2014

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014