LISA ANN TREVIRANUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032846

License Status

NOT RENEWED

Business

First Name

LISA ANN

Last Name

TREVIRANUS

Business Name

LISA ANN TREVIRANUS

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1996

City

DIXON

State

Zip

61021

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005