DORLISA C BETHANY - Pharmacist License in Illinois | # 049120700

DORLISA C BETHANY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120700

License Status

NOT RENEWED

Business

N

First Name

DORLISA

Middle

C

Last Name

BETHANY

Business Name

DORLISA C BETHANY

Original Issue Date

04/22/1998

Effective Date

01/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022