DOROTHY LUCILLE EISEN - Pharmacist License in Illinois | # 049062294

DOROTHY LUCILLE EISEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062294

License Status

NOT RENEWED

Business

N

First Name

DOROTHY LUCILLE

Last Name

EISEN

Business Name

DOROTHY LUCILLE EISEN

Original Issue Date

09/27/1974

Effective Date

09/27/1974

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005