AUDREY L WAITUKAITIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057044

License Status

NOT RENEWED

Business

First Name

AUDREY L

Last Name

WAITUKAITIS

Business Name

AUDREY L WAITUKAITIS

Original Issue Date

10/29/1971

Effective Date

10/29/1971

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005