VIVIAN E STALLWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089639

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005