DELORIS L WISWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079701

License Status

NOT RENEWED

Business

First Name

DELORIS L

Last Name

WISWELL

Business Name

DELORIS L WISWELL

Original Issue Date

04/19/1984

Effective Date

04/19/1984

Expiration Date

03/31/1986

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005