LLOUELLYN I WIGGINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137935

License Status

INACTIVE

Business

First Name

LLOUELLYN

Middle

Last Name

WIGGINS

Business Name

LLOUELLYN I WIGGINS

Original Issue Date

09/10/2001

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

01/12/2010