TAKAKO S WATTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151609

License Status

NOT RENEWED

Business

First Name

TAKAKO

Middle

Last Name

WATTS

Business Name

TAKAKO S WATTS

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2006

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006