LISA R MODELEVSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130023

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MODELEVSKY

Business Name

LISA R MODELEVSKY

Original Issue Date

03/16/2000

Effective Date

03/01/2012

Expiration Date

03/31/2013

City

NEW YORK

State

Zip

10065

Ever Disciplined

LastModifiedDate

05/06/2013