LAURA E WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160181

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

WISE

Business Name

LAURA E WISE

Original Issue Date

04/14/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/14/2007