TERRA WISEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247646

License Status

NOT RENEWED

Business

First Name

TERRA

Last Name

WISEMAN

Business Name

TERRA WISEMAN

Original Issue Date

01/09/2017

Effective Date

01/09/2017

Expiration Date

03/31/2018

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

06/19/2018