DEBRA L DISMANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079664

License Status

NOT RENEWED

Business

First Name

DEBRA L

Last Name

DISMANG

Business Name

DEBRA L DISMANG

Original Issue Date

04/03/1984

Effective Date

04/03/1984

Expiration Date

03/31/1986

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005