LETHA B WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049318

License Status

NOT RENEWED

Business

First Name

LETHA B

Last Name

WISE

Business Name

LETHA B WISE

Original Issue Date

01/01/1997

Expiration Date

03/31/1982

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005