DEBORAH LYNN DE-WALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059746

License Status

NOT RENEWED

Business

First Name

DEBORAH LYNN

Last Name

DE-WALT

Business Name

DEBORAH LYNN DE-WALT

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005