MICHELLE M WISEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073384

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

WISEMAN

Business Name

MICHELLE M WISEMAN

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

03/31/1995

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005