VIRGINIA L DATISMAN - Pharmacist License in Illinois | # 049050631

VIRGINIA L DATISMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050631

License Status

NOT RENEWED

Business

N

First Name

VIRGINIA L

Last Name

DATISMAN

Business Name

VIRGINIA L DATISMAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005