LISA M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223448

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

FORD

Business Name

LISA M FORD

Original Issue Date

02/18/2014

Effective Date

05/13/2021

Expiration Date

05/31/2022

City

JACKSON

State

Zip

63755

Ever Disciplined

LastModifiedDate

07/27/2022