LISA R VISSERING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036388

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

VISSERING

Business Name

LISA R VISSERING

Original Issue Date

09/03/1986

Effective Date

09/03/1986

Expiration Date

03/31/1998

City

VESTAL

State

Zip

13850

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005