BEAU R WOLTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162040

License Status

NOT RENEWED

Business

First Name

BEAU

Middle

Last Name

WOLTER

Business Name

BEAU R WOLTER

Original Issue Date

06/30/2005

Effective Date

06/30/2005

Expiration Date

03/31/2006

City

FT MYERS

State

Zip

33908

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/11/2006