Virginia L Datisman
ExpiredIllinois license 049050631
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049050631
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Virginia L Datisman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Mt. Morris, IL 61054
Ogle County