CODI M WAITMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164420

License Status

NOT RENEWED

Business

First Name

CODI

Middle

Last Name

WAITMAN

Business Name

CODI M WAITMAN

Original Issue Date

10/06/2005

Effective Date

12/16/2014

Expiration Date

03/31/2015

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2015