WATHA A MUCKLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156860

License Status

NOT RENEWED

Business

First Name

WATHA

Middle

Last Name

MUCKLER

Business Name

WATHA A MUCKLER

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

03/31/2005

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005