CLINT D WITSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148261

License Status

NOT RENEWED

Business

First Name

CLINT

Middle

Last Name

WITSMAN

Business Name

CLINT D WITSMAN

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2004

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

10/20/2005