TODD A WIANDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176036

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

WIANDT

Business Name

TODD A WIANDT

Original Issue Date

05/02/2007

Effective Date

09/15/2009

Expiration Date

03/31/2010

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/04/2010