CAMILLE K WISSMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092991

License Status

NOT RENEWED

Business

First Name

CAMILLE K

Last Name

WISSMANN

Business Name

CAMILLE K WISSMANN

Original Issue Date

05/02/1990

Effective Date

05/02/1990

Expiration Date

06/30/2017

City

ROYAL

State

Zip

61871

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005