SEAN RUSSELL WATERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149255

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

RUSSELL

Last Name

WATERS

Business Name

SEAN RUSSELL WATERS

Original Issue Date

06/25/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LIBERTY

State

Zip

62347

County

ADAMS

Ever Disciplined

LastModifiedDate

05/02/2008