TRISTAN ANTHONY WOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288636

License Status

NOT RENEWED

Business

First Name

TRISTAN

Middle

ANTHONY

Last Name

WOOD

Business Name

TRISTAN ANTHONY WOOD

Original Issue Date

12/06/2021

Effective Date

03/30/2022

Expiration Date

03/31/2023

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

09/07/2023