JACK ROBERT WIGHTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293915

License Status

NOT RENEWED

Business

First Name

JACK

Middle

ROBERT

Last Name

WIGHTMAN

Business Name

JACK ROBERT WIGHTMAN

Original Issue Date

07/07/2022

Effective Date

03/22/2023

Expiration Date

03/31/2024

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

01/03/2025