VIRGINIA L DATISMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050631

License Status

NOT RENEWED

Business

First Name

VIRGINIA L

Last Name

DATISMAN

Business Name

VIRGINIA L DATISMAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MT. MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005