LASHAWN D WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145416

License Status

NOT RENEWED

Business

First Name

LASHAWN

Middle

Last Name

WYATT

Business Name

LASHAWN D WYATT

Original Issue Date

10/18/2002

Effective Date

10/18/2002

Expiration Date

03/31/2005

City

ULLIN

State

Zip

62992

County

PULASKI

Ever Disciplined

LastModifiedDate

10/20/2005