MARY B WISKAMP Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177021

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

WISKAMP

Business Name

MARY B WISKAMP

Original Issue Date

06/14/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/06/2009