MICHAEL WOOTEN - Pharmacist License in Illinois | # 049157290

MICHAEL WOOTEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157290

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

WOOTEN

Business Name

MICHAEL WOOTEN

Original Issue Date

10/04/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009