WANDA LEE CARMACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069965

License Status

NOT RENEWED

Business

First Name

WANDA LEE

Last Name

CARMACK

Business Name

WANDA LEE CARMACK

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005