LISA M SANSONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109014

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

SANSONE

Business Name

LISA M SANSONE

Original Issue Date

12/06/1994

Effective Date

12/06/1994

Expiration Date

03/31/1998

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005