OWEN DAVID WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272185

License Status

NOT RENEWED

Business

First Name

OWEN

Middle

DAVID

Last Name

WYATT

Business Name

OWEN DAVID WYATT

Original Issue Date

04/01/2020

Effective Date

04/01/2020

Expiration Date

03/31/2021

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

07/20/2021