VIVIAN E STALLWORTH - Pharmacist License in Illinois | # 049089639

VIVIAN E STALLWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089639

License Status

NOT RENEWED

Business

N

First Name

VIVIAN E

Last Name

STALLWORTH

Business Name

VIVIAN E STALLWORTH

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005