LISA LINN SIEFERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100155

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LINN

Last Name

SIEFERT

Business Name

LISA LINN SIEFERT

Original Issue Date

05/16/1992

Effective Date

05/16/1992

Expiration Date

03/31/1995

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005