CLIFFORD E WOLLAM JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101016

License Status

NOT RENEWED

Business

First Name

CLIFFORD E

Last Name

WOLLAM JR

Business Name

CLIFFORD E WOLLAM JR

Original Issue Date

08/18/1992

Effective Date

08/18/1992

Expiration Date

03/31/1994

City

KAHOKA

State

Zip

63445

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005