DANA M WYATT - Pharmacist License in Illinois | # 049152773

DANA M WYATT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152773

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

M

Last Name

WYATT

Business Name

DANA M WYATT

Original Issue Date

01/05/2004

Effective Date

01/05/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005