VANCE D WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236313

License Status

NOT RENEWED

Business

First Name

VANCE

Middle

Last Name

WYATT

Prefix

Business Name

VANCE D WYATT

Original Issue Date

09/22/2015

Effective Date

03/10/2016

Expiration Date

03/31/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017