THOMAS R WALWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068404

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

WALWORTH

Business Name

THOMAS R WALWORTH

Original Issue Date

11/04/1977

Effective Date

11/04/1977

Expiration Date

01/01/1997

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005