JERRY WAYNE WALTERS - Pharmacist License in Illinois | # 049071981

JERRY WAYNE WALTERS

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071981

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005