JENNIFER L WISMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163381

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WISMAN

Business Name

JENNIFER L WISMAN

Original Issue Date

08/30/2005

Effective Date

08/30/2005

Expiration Date

03/31/2006

City

OTISCO

State

Zip

47163

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006