WANDA DESHERLIA BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075060

License Status

NOT RENEWED

Business

First Name

WANDA DESHERLIA

Last Name

BLACKWELL

Business Name

WANDA DESHERLIA BLACKWELL

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

03/31/1984

City

FIELDON

State

Zip

62031

County

GREENE

Ever Disciplined

LastModifiedDate

10/17/2005