LAWRENCE A WIRTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141095

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

WIRTH

Business Name

LAWRENCE A WIRTH

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

03/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005