LISA S ROUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149629

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

ROUSSELL

Business Name

LISA S ROUSSELL

Original Issue Date

07/29/2003

Effective Date

04/21/2016

Expiration Date

03/31/2017

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017