LISA R MODELEVSKY Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296134

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MODELEVSKY

Business Name

LISA R MODELEVSKY

Original Issue Date

08/23/2012

Effective Date

02/23/2024

Expiration Date

03/31/2026

City

NEW YORK

State

Zip

10065

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/30/2026