LYDIA A WITSMAN - Pharmacist License in Illinois | # 049153589

LYDIA A WITSMAN

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153589

License Status

INACTIVE

Business

N

First Name

LYDIA

Middle

A

Last Name

WITSMAN

Business Name

LYDIA A WITSMAN

Original Issue Date

03/11/2004

Effective Date

01/10/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2021