AMY L WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201060

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

WYATT

Business Name

AMY L WYATT

Original Issue Date

10/14/2010

Effective Date

10/14/2010

Expiration Date

03/31/2011

City

DORSEY

State

Zip

62021

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011