BENJAMIN W WUNDERLICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159164

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

WUNDERLICH

Business Name

BENJAMIN W WUNDERLICH

Original Issue Date

02/09/2005

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62712

Ever Disciplined

LastModifiedDate

05/12/2011