LISA KONIECZNY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158669

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

KONIECZNY

Business Name

LISA KONIECZNY

Original Issue Date

12/29/2004

Effective Date

01/21/2009

Expiration Date

03/31/2010

City

MINNEAPOLIS

State

Zip

55407

Ever Disciplined

LastModifiedDate

05/04/2010