ANDREW STANLEY WYBOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155382

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

STANLEY

Last Name

WYBOLT

Business Name

ANDREW STANLEY WYBOLT

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2005

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005