WANDA K MUSTARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101893

License Status

NOT RENEWED

Business

First Name

WANDA K

Last Name

MUSTARD

Business Name

WANDA K MUSTARD

Original Issue Date

12/03/1992

Effective Date

12/03/1992

Expiration Date

03/31/1995

City

AUGUSTA

State

Zip

62311

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/17/2005