LISA D COFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267558

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

COFFMAN

Business Name

LISA D COFFMAN

Original Issue Date

08/28/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021