Lisa Detrisac
ExpiredIllinois license 049259197
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049259197
- Status
- Expired (Not Renewed)
- First issued
- August 15, 2018
- Expired
- September 30, 2020
- License holder
- Lisa Detrisac
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/05/2019
Contact
Manteno, IL 60950
Kankakee County