TAYLOR THOMAS WAIDELICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175379

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

THOMAS

Last Name

WAIDELICH

Business Name

TAYLOR THOMAS WAIDELICH

Original Issue Date

04/05/2007

Effective Date

01/27/2011

Expiration Date

03/31/2012

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012