MICHAEL WAYNE GAITHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029990

License Status

NOT RENEWED

Business

First Name

MICHAEL WAYNE

Last Name

GAITHER

Business Name

MICHAEL WAYNE GAITHER

Original Issue Date

08/02/1974

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021