CHELISE RENAE WOOTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175378

License Status

NOT RENEWED

Business

First Name

CHELISE

Middle

RENAE

Last Name

WOOTEN

Business Name

CHELISE RENAE WOOTEN

Original Issue Date

04/05/2007

Effective Date

02/20/2015

Expiration Date

03/31/2016

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

05/20/2016