MARK E WALZ - Pharmacist License in Illinois | # 049069190

MARK E WALZ

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069190

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005