ANNA LUCILLE ISHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060667

License Status

NOT RENEWED

Business

First Name

ANNA LUCILLE

Last Name

ISHAM

Business Name

ANNA LUCILLE ISHAM

Original Issue Date

11/30/1973

Effective Date

11/30/1973

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005