LISA MARIE ANSELMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286857

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

ANSELMO

Business Name

LISA MARIE ANSELMO

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

03/31/2004

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005