CHARLES D WATHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023582

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

WATHEN

Business Name

CHARLES D WATHEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005