WADE A BOWERMASTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157489

License Status

NOT RENEWED

Business

First Name

WADE

Middle

Last Name

BOWERMASTER

Business Name

WADE A BOWERMASTER

Original Issue Date

10/18/2004

Effective Date

10/18/2004

Expiration Date

03/31/2006

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006