STEPHEN LEWIS WISE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300569

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

LEWIS

Last Name

WISE

Business Name

STEPHEN LEWIS WISE

Original Issue Date

08/16/2017

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

01/04/2020