CONNIE J GWALTNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084198

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

GWALTNEY

Business Name

CONNIE J GWALTNEY

Original Issue Date

04/11/1987

Effective Date

04/11/1987

Expiration Date

03/31/1999

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005