GARY E WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152223

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

WISE

Business Name

GARY E WISE

Original Issue Date

11/21/2003

Effective Date

11/21/2003

Expiration Date

03/31/2004

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005