DELISSA Y LUM - Pharmacist License in Illinois | # 049062000

DELISSA Y LUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062000

License Status

NOT RENEWED

Business

N

First Name

DELISSA Y

Last Name

LUM

Business Name

DELISSA Y LUM

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005