BONITA K LIESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221775

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

Last Name

LIESEN

Business Name

BONITA K LIESEN

Original Issue Date

11/06/2013

Effective Date

07/20/2015

Expiration Date

03/31/2016

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/20/2016