DAVID ALAN WYMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064626

License Status

CANCELLED

Business

First Name

DAVID ALAN

Last Name

WYMAN

Business Name

DAVID ALAN WYMAN

Original Issue Date

12/26/1975

Effective Date

12/26/1975

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/12/2007