LISA DETRISAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259197

License Status

NOT RENEWED

Business

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

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/08/2021