WAYNE ANTENEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030881

License Status

INACTIVE

Business

First Name

WAYNE

Last Name

ANTENEN

Business Name

WAYNE ANTENEN

Original Issue Date

08/06/1976

Effective Date

03/14/2016

Expiration Date

03/31/2018

City

BANDERA

State

Zip

78003

County

TEXAS

Ever Disciplined

LastModifiedDate

01/12/2018