LISA A MOMENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279388

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MOMENT

Business Name

LISA A MOMENT

Original Issue Date

02/10/2021

Effective Date

07/01/2023

Expiration Date

03/31/2024

City

CHAMPAIGN

State

Zip

61821

Ever Disciplined

LastModifiedDate

01/03/2025