TODD DAVID WEITEKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176505

License Status

NOT RENEWED

Business

First Name

TODD

Middle

DAVID

Last Name

WEITEKAMP

Business Name

TODD DAVID WEITEKAMP

Original Issue Date

05/21/2007

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

CHATHAM

State

Zip

62629

Ever Disciplined

LastModifiedDate

05/07/2012