MICHAEL WASIUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023734

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

WASIUTA

Business Name

MICHAEL WASIUTA

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

NORTH HOLLYWOOD

State

Zip

91605

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005