THOMAS WAYNE VISSER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128935

License Status

INACTIVE

Business

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

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/12/2012