CHARYL LYNNE LIESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257609

License Status

NOT RENEWED

Business

First Name

CHARYL

Middle

LYNNE

Last Name

LIESEN

Business Name

CHARYL LYNNE LIESEN

Original Issue Date

04/20/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021