LISA JO GOTTFRIED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265016

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GOTTFRIED

Business Name

LISA JO GOTTFRIED

Original Issue Date

04/30/2019

Effective Date

04/30/2019

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/08/2021