LAWRENCE LAFAYET WISEMAN JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055977

License Status

NOT RENEWED

Business

First Name

LAWRENCE LAFAYET

Last Name

WISEMAN JR

Business Name

LAWRENCE LAFAYET WISEMAN JR

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

E. ST. LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005