GARY MICHAEL WALENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070256

License Status

NOT RENEWED

Business

First Name

GARY MICHAEL

Last Name

WALENS

Business Name

GARY MICHAEL WALENS

Original Issue Date

10/20/1978

Effective Date

10/20/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005