LYDIA A WITSMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153589

License Status

INACTIVE

Business

First Name

LYDIA

Middle

Last Name

WITSMAN

Business Name

LYDIA A WITSMAN

Original Issue Date

03/11/2004

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

01/10/2021