DANA M WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152773

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

WYATT

Business Name

DANA M WYATT

Original Issue Date

01/05/2004

Effective Date

01/05/2004

Expiration Date

03/31/2005

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005