WAYNE I TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019711

License Status

NOT RENEWED

Business

First Name

WAYNE I

Last Name

TANNER

Business Name

WAYNE I TANNER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

INDIANAPOLIS

State

Zip

46219

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005