SIDNEY H WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049029621

License Status

NOT RENEWED

Business

First Name

SIDNEY H

Last Name

WALLER

Business Name

SIDNEY H WALLER

Original Issue Date

01/01/1997

Expiration Date

03/31/1987

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005