ELLEN FAYE WISEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137659

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

FAYE

Last Name

WISEMAN

Business Name

ELLEN FAYE WISEMAN

Original Issue Date

08/09/2001

Effective Date

08/09/2001

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005