ROBERTA J WALAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074801

License Status

NOT RENEWED

Business

First Name

ROBERTA J

Last Name

WALAT

Business Name

ROBERTA J WALAT

Original Issue Date

06/24/1981

Effective Date

06/24/1981

Expiration Date

03/31/1982

City

GLENVIEW

State

Zip

60029

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005