WAYNE WILHELM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071432

License Status

NOT RENEWED

Business

First Name

WAYNE

Last Name

WILHELM

Business Name

WAYNE WILHELM

Original Issue Date

06/22/1979

Effective Date

06/22/1979

Expiration Date

01/01/1997

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005