CAROL J WAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098858

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

WAKE

Business Name

CAROL J WAKE

Original Issue Date

12/06/1991

Effective Date

12/06/1991

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005