GARY MICHAEL WALENS - Pharmacist License in Illinois | # 049070256

GARY MICHAEL WALENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070256

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005