Lisa Kay Shively
ExpiredIllinois license 049071921
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049071921
- Status
- Expired (Not Renewed)
- First issued
- September 21, 1979
- Expired
- March 31, 1984
- License holder
- Lisa Kay Shively
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/21/1979
Contact
Shawneetown, IL 62984
Gallatin County