WAYNE DONALD DERSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139526

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

DONALD

Last Name

DERSCH

Business Name

WAYNE DONALD DERSCH

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/31/2003

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005