VIRGINIA LORRAINE WAYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148331

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

LORRAINE

Last Name

WAYMAN

Business Name

VIRGINIA LORRAINE WAYMAN

Original Issue Date

04/24/2003

Effective Date

04/24/2003

Expiration Date

03/31/2005

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005