RAVEN S WAINWRIGHT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235163

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

Last Name

WAINWRIGHT

Business Name

RAVEN S WAINWRIGHT

Original Issue Date

07/31/2015

Effective Date

09/28/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021