LARRY WAHLSTROM - Pharmacist License in Illinois | # 049064438

LARRY WAHLSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064438

License Status

NOT RENEWED

Business

N

First Name

LARRY

Last Name

WAHLSTROM

Business Name

LARRY WAHLSTROM

Original Issue Date

10/31/1975

Effective Date

10/31/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005