JERRY WAYNE WALTERS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071981

License Status

CANCELLED

Business

First Name

JERRY WAYNE

Last Name

WALTERS

Business Name

JERRY WAYNE WALTERS

Original Issue Date

10/05/1979

Effective Date

10/05/1979

Expiration Date

01/01/1997

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005