DOROTHY LUCILLE EISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062294

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005