ERIC T WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096981

License Status

NOT RENEWED

Business

First Name

ERIC T

Last Name

WISE

Business Name

ERIC T WISE

Original Issue Date

05/25/1991

Effective Date

05/25/1991

Expiration Date

03/31/1994

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005