MISTY LANE WITTENBORN - Pharmacist License in Illinois | # 049126473

MISTY LANE WITTENBORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126473

License Status

NOT RENEWED

Business

N

First Name

MISTY

Middle

LANE

Last Name

WITTENBORN

Business Name

MISTY LANE WITTENBORN

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005