INGRID VICTORIA WASSER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153359

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

VICTORIA

Last Name

WASSER

Business Name

INGRID VICTORIA WASSER

Original Issue Date

02/27/2004

Effective Date

02/27/2004

Expiration Date

03/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005