DORA F WILD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103361

License Status

NOT RENEWED

Business

First Name

DORA F

Last Name

WILD

Business Name

DORA F WILD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

03/31/1994

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005