THOMAS WAYNE VISSER - Pharmacist License in Illinois | # 049128935

THOMAS WAYNE VISSER

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128935

License Status

INACTIVE

Business

N

First Name

THOMAS

Middle

WAYNE

Last Name

VISSER

Business Name

THOMAS WAYNE VISSER

Original Issue Date

01/13/2000

Effective Date

03/07/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2012