WAYNE ELLIOT SPATH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032591

License Status

INACTIVE

Business

First Name

WAYNE ELLIOT

Last Name

SPATH

Business Name

WAYNE ELLIOT SPATH

Original Issue Date

05/14/1979

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/04/2020