DAVID DISSEN - Pharmacist License in Illinois | # 049148943

DAVID DISSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148943

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

DISSEN

Business Name

DAVID DISSEN

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005