DIANA P ISOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087096

License Status

NOT RENEWED

Business

First Name

DIANA P

Last Name

ISOM

Business Name

DIANA P ISOM

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

03/31/1992

City

VAN DYNE

State

Zip

54979

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005