LISA A BETHEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036646

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

BETHEA

Business Name

LISA A BETHEA

Original Issue Date

08/23/1987

Effective Date

07/29/2022

Expiration Date

03/31/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/05/2025