WILLIAM WAYNE WISSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025155

License Status

NOT RENEWED

Business

First Name

WILLIAM WAYNE

Last Name

WISSMAN

Business Name

WILLIAM WAYNE WISSMAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

FORT WAYNE

State

Zip

46815

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005