MARYBETH H WISNIEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075494

License Status

NOT RENEWED

Business

First Name

MARYBETH H

Last Name

WISNIEW

Business Name

MARYBETH H WISNIEW

Original Issue Date

10/09/1981

Effective Date

10/09/1981

Expiration Date

03/31/1984

City

MUNCIE

State

Zip

47302

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005