CLIFFORD E WOLLAM JR - Pharmacist License in Missouri | # 049101016

CLIFFORD E WOLLAM JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101016

License Status

NOT RENEWED

Business

N

First Name

CLIFFORD E

Last Name

WOLLAM JR

Business Name

CLIFFORD E WOLLAM JR

Original Issue Date

08/18/1992

Effective Date

08/18/1992

Expiration Date

03/31/1994

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005