JALISA J ACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267743

License Status

NOT RENEWED

Business

First Name

JALISA

Middle

Last Name

ACOSTA

Business Name

JALISA J ACOSTA

Original Issue Date

09/06/2019

Effective Date

09/06/2019

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53206

Ever Disciplined

LastModifiedDate

01/08/2021