THOMAS WALTER WILD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025714

License Status

NOT RENEWED

Business

First Name

THOMAS WALTER

Last Name

WILD

Business Name

THOMAS WALTER WILD

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

MARTINSVILLE

State

Zip

46151

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008