MISTY LANE WITTENBORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126473

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

LANE

Last Name

WITTENBORN

Business Name

MISTY LANE WITTENBORN

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

03/31/2001

City

CAMPBELL HILL

State

Zip

62916

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005