GUIN R WAGNAAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187455

License Status

NOT RENEWED

Business

First Name

GUIN

Middle

Last Name

WAGNAAR

Business Name

GUIN R WAGNAAR

Original Issue Date

10/01/2008

Effective Date

10/01/2008

Expiration Date

03/31/2009

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

05/06/2009