VIRGINIA WALDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059418

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Last Name

WALDEN

Business Name

VIRGINIA WALDEN

Original Issue Date

04/24/1973

Effective Date

04/24/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005