MARIAN ELAINE CL WALTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065531

License Status

NOT RENEWED

Business

First Name

MARIAN ELAINE CL

Last Name

WALTMAN

Business Name

MARIAN ELAINE CL WALTMAN

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

City

ALPHA

State

Zip

61413

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005