DIANA P ISOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038434

License Status

NOT RENEWED

Business

First Name

DIANA P

Last Name

ISOM

Business Name

DIANA P ISOM

Original Issue Date

08/18/1991

Effective Date

03/14/2016

Expiration Date

03/31/2018

City

VAN DYNE

State

Zip

54979

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/19/2018