LISA MARIE CHAMP Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246858

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

CHAMP

Business Name

LISA MARIE CHAMP

Original Issue Date

12/05/2016

Effective Date

02/09/2026

Expiration Date

03/31/2027

City

HECKER

State

Zip

62248

County

MONROE

Ever Disciplined

LastModifiedDate

02/09/2026