LISA DETRISAC - Pharmacist License in Illinois | # 049259197

LISA DETRISAC

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259197

License Status

NOT RENEWED

Business

N

First Name

LISA

Last Name

DETRISAC

Business Name

LISA DETRISAC

Original Issue Date

08/15/2018

Effective Date

02/05/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021