MICHAEL WAYNE WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224086

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

WHITE

Business Name

MICHAEL WAYNE WHITE

Original Issue Date

03/25/2014

Effective Date

03/25/2014

Expiration Date

03/31/2015

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015