MIRANDA JO WITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164177

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

WITT

Business Name

MIRANDA JO WITT

Original Issue Date

09/26/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009