TINA M WENCEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079501

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

WENCEL

Business Name

TINA M WENCEL

Original Issue Date

02/29/1984

Effective Date

03/31/2015

Expiration Date

03/31/2016

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/20/2016