DAVID W WIDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088747

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

WIDMAN

Business Name

DAVID W WIDMAN

Original Issue Date

01/24/1989

Effective Date

01/24/1989

Expiration Date

03/31/1992

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005