KWANTA NATHALANG WU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156992

License Status

NOT RENEWED

Business

First Name

KWANTA

Middle

NATHALANG

Last Name

Business Name

KWANTA NATHALANG WU

Original Issue Date

08/30/2004

Effective Date

03/16/2007

Expiration Date

03/31/2008

City

GRANGER

State

Zip

46530

Ever Disciplined

LastModifiedDate

05/02/2008