DAVID DALE WEGMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061218

License Status

CANCELLED

Business

First Name

DAVID DALE

Last Name

WEGMAN

Business Name

DAVID DALE WEGMAN

Original Issue Date

03/29/1974

Effective Date

03/29/1974

Expiration Date

01/01/1997

City

BIGGSVILLE

State

Zip

61418

County

HENDERSON

Ever Disciplined

LastModifiedDate

10/17/2005