LISA ANN ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250148

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

ALLEN

Business Name

LISA ANN ALLEN

Original Issue Date

04/24/2017

Effective Date

04/24/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018