MARK E WALZ Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069190

License Status

CANCELLED

Business

First Name

MARK E

Last Name

WALZ

Business Name

MARK E WALZ

Original Issue Date

04/14/1978

Effective Date

04/14/1978

Expiration Date

03/31/1984

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005