MICHELLE M WISEMAN - Pharmacist License in Illinois | # 049073384

MICHELLE M WISEMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073384

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

M

Last Name

WISEMAN

Business Name

MICHELLE M WISEMAN

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005