GUY A BANWART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157321

License Status

NOT RENEWED

Business

First Name

GUY

Middle

Last Name

BANWART

Business Name

GUY A BANWART

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/31/2006

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/11/2006